Active NPI
Jean Fritznel Merise, MBA, CASE MANAGER
- Case Manager/Care Coordinator
- Columbus, OH
National Provider Identifier
1477060440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2602 Oakstone Dr Ste 20
Columbus, OH 43231-7613 - Phone
- (347) 982-1457
- Fax
- (347) 982-1457
- NPI assigned
- Dec 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2602 Oakstone Dr Ste 20
Columbus, OH 43231-7613
Mailing address
360 E Columbus St
Pickerington, OH 43147-1168
Phone (347) 982-1457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redefined Care, LLC | Current | Accepting new patients | |
| Living Wise Community Services LLC | Current | Accepting new patients | |
| Divine Steps Health Care, LLC | Current | Accepting new patients |
Locations
2602 Oakstone Dr
Ste 20
Columbus, OH 43231
Phone (347) 982-1457
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Columbus, OH
- NPI 1396443354
-
- In Home Supportive Care Agency
- Pickerington, OH
- NPI 1316745615
-
- In Home Supportive Care Agency
- Pickerington, OH
- NPI 1699568485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1477060440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E COLUMBUS ST",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431471168",
"telephone_number": "347-982-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 OAKSTONE DR STE 20",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432317613",
"telephone_number": "347-982-1457",
"fax_number": "347-982-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERISE",
"first_name": "JEAN",
"middle_name": "FRITZNEL",
"credential": "MBA, CASE MANAGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-29",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.