Individual provider Active NPI

Jennifer Kay Chapman, RN FNP-C

  • Family Nurse Practitioner
  • North Randall, OH
National Provider Identifier
1427505312
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019849 Issued in OH
Practice address
20265 Emery Rd
North Randall, OH 44128-4122
Phone
(440) 523-9966
Fax
(216) 584-2895
NPI assigned
Sep 8, 2016
Last updated
Apr 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019849 OH Primary

Addresses

Primary practice location

20265 Emery Rd
North Randall, OH 44128-4122

Mailing address

405 Pleasant Valley Rd SW
Sugarcreek, OH 44681-8063
Phone (330) 852-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101000391 OH Practitioner - Nurse Practitioner 7315225000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 Pleasant Valley Rd SW
Sugarcreek, OH 44681-7827

405 Pleasant Valley Rd SW
Sugarcreek, OH 44681-8063

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019849OHMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1427505312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PLEASANT VALLEY RD SW",
            "city": "SUGARCREEK",
            "state": "OH",
            "postal_code": "446818063",
            "telephone_number": "330-852-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 EMERY RD",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284122",
            "telephone_number": "440-523-9966",
            "fax_number": "216-584-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Randall, OH

Sources for this page

Verify at the official NPI Registry.