Individual provider Active NPI

Jessica Brown

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1487215406
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024923 Issued in OH
Practice address
6755 W Central Ave Ste 101
Toledo, OH 43617-1443
Phone
(567) 585-0075
Fax
(419) 517-7105
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 024923 OH Primary

Addresses

Primary practice location

6755 W Central Ave Ste 101
Toledo, OH 43617-1443

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-1531

Other practice location 1

3316 Navarre Ave Ste F
Oregon, OH 43616-3301
Phone (419) 291-1420

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jcole12@rockets.utoledo.edu
Direct Messaging Address jcole49459@epicdirect.promedica.org

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
I20201123001648 OH Practitioner - Nurse Practitioner 8527479617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

3316 Navarre Ave
Suite F
Oregon, OH 43616-3314
Phone (419) 291-1420

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024923OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jan 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Jan 1, 2022 Accepting new patients
West Toledo Urgent Care LLC Past Accepting new patients
Promedica Central Physicians PastSince Oct 16, 2022 Accepting new patients

Locations

6601 Lewis Ave
Temperance, MI 48182
Phone (734) 206-2016

3316 Navarre Ave
Ste F
Oregon, OH 43616
Phone (419) 291-1420

3316 Navarre Ave
Oregon, OH 43616
Phone (419) 291-1420

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

6755 W Central Ave
Ste 101
Toledo, OH 43617
Phone (567) 585-0075

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

3430 Secor Rd
Toledo, OH 43606
Phone (567) 585-0225

Interoperability endpoints

  • Direct secure messaging: jbrown49459@direct.promedica.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1487215406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 W CENTRAL AVE STE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171443",
            "telephone_number": "567-585-0075",
            "fax_number": "419-517-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3316 Navarre Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163301",
            "country_code": "US",
            "telephone_number": "419-291-1420",
            "fax_number": "419-214-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2023-11-03",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcole12@rockets.utoledo.edu",
            "affiliation": "N",
            "address_1": "1560 Henthorne Dr",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435371371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcole49459@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.