Jennifer Michelle Phlipot, MS, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Versailles, OH
NPI 1497167274 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1497167274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- COA-15898-NP (OH)
- Practice address
- 471 Marker Rd
Versailles, OH 45380-9324 - Phone
- (937) 526-9834
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upper Valley Professional Corporation
Practice addresses (Care Compare)
450 N Hyatt St
Tipp City, OH 45371-1433
Phone (937) 669-9978
471 Marker Rd
Versailles, OH 45380-9324
Phone (937) 526-9843
Hospital & facility affiliations
- Fidelity Health Care
- Upper Valley Medical Center
- Wayne Hospital
- Atrium Medical Center
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.89 of 100
- Quality
- 83.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708001009 | OH | Practitioner - Nurse Practitioner | 0749405751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA-15898-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Valley Professional Corporation | Current |
Accepting new patients |
Locations
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
31 S Stanfield Rd
Ste 201
Troy, OH 45373
Phone (937) 440-7788
471 Marker Rd
Versailles, OH 45380
Phone (937) 526-9834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA-15898-NP | OH | Yes |
Addresses
Primary practice location
471 Marker Rd
Versailles, OH 45380-9324
Mailing address
1023 Jackson St
Versailles, OH 45380-9307
Phone (937) 526-3166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105779 | Medicaid | OH |
Other providers in Versailles, OH
- Michelle A McClure
- Claire Louise Meyer
- Daniel H Meyer
- Theresa Nelson
- Orthopedic Associates of S W Ohio, Inc
- Jennifer L Rawlins
- Renee Rindler
- Steven E Ruhenkamp
- Emily B Schwieterman Pepple
- Brenda Smith
All providers in Versailles, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.