Individual provider Active NPI

Jennifer Roby

  • Family Nurse Practitioner
  • Plain City, OH
National Provider Identifier
1427507995
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FAMILY NP - 363LF000 Issued in OH
Practice address
480 S Jefferson Ave Ste 500
Plain City, OH 43064-4137
Phone
(614) 873-3434
NPI assigned
Sep 26, 2016
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X FAMILY NP - 363LF000 OH Primary
Medical-Surgical Registered Nurse 163WM0705X RN.375214 OH

Addresses

Primary practice location

480 S Jefferson Ave Ste 500
Plain City, OH 43064-4137

Mailing address

480 S Jefferson Ave Ste 500
Plain City, OH 43064-4137
Phone (614) 873-3434

Other practice location 1

199 Graceland Blvd
Columbus, OH 43214-1529
Phone (614) 410-2814

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
I20161128002781 OH Practitioner - Nurse Practitioner 9638458128 Reassigns benefits to 3 organizations

Care Compare profile

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

Practice addresses (Care Compare)

480 S Jefferson Ave
Suite 500
Plain City, OH 43064-4137
Phone (614) 873-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.375214OHMDMedical-Surgical Registered Nurse
FAMILY NP - 363LF000OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical, LLC CurrentSince Apr 10, 2020 Accepting new patients
Union County Physician Corporation CurrentSince Aug 30, 2021 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Oct 24, 2016 Accepting new patients
Union County Physician Corporation CurrentSince Aug 30, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Buckeye Sports and Family Chiropractice Center, Inc PastSince Apr 10, 2020 Accepting new patients

Locations

1745 Morse Rd
Columbus, OH 43229
Phone (614) 405-9401

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

16705 Square Dr
Marysville, OH 43040
Phone (937) 400-2011

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

480 S Jefferson Ave
Ste 400
Plain City, OH 43064
Phone (614) 570-3598

480 S Jefferson Ave
Ste 500
Plain City, OH 43064
Phone (614) 873-3434

Interoperability endpoints

  • Direct secure messaging: jennifer.roby@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: jroby996230@direct.osumc.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1427507995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S JEFFERSON AVE STE 500",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644137",
            "telephone_number": "614-873-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S JEFFERSON AVE STE 500",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644137",
            "telephone_number": "614-873-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Graceland Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141529",
            "country_code": "US",
            "telephone_number": "614-410-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "FAMILY NP - 363LF000",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "RN.375214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain City, OH

Sources for this page

Verify at the official NPI Registry.