Active NPI
Jaclyn Emilie Geronimo, APRN
- Family Nurse Practitioner
- Toledo, OH
National Provider Identifier
1497210819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024133
- Practice address
- 2100 W Central Ave Ste 200
Toledo, OH 43606-3817 - Phone
- (567) 420-1600
- Fax
- (419) 383-3338
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024133 | OH | Primary |
Addresses
Primary practice location
2100 W Central Ave Ste 200
Toledo, OH 43606-3817
Mailing address
3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322
Other practice location 1
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 591-6460
Other practice location 2
3125 Transverse Dr
Toledo, OH 43614-8008
Phone (419) 383-6843
Other practice location 3
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7900
Other practice location 4
5700 Monroe St Unit 204B
Sylvania, OH 43560-2735
Phone (567) 585-0675
Other practice location 5
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0356604 | Medicaid | OH |
Other names 1
- Miss Jaclyn Emilie Dishop
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaclyn.geronimo.1@9641.direct.athenahealth.com | University of Toledo Physicians LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3125 Transverse Dr
Toledo, OH 43614-8008
Phone (419) 383-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024133 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3000 Arlington Ave
Stop 1108
Toledo, OH 43614
Interoperability endpoints
- jgeronimo25237@direct.utoledo.edu
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Defiance, OH
- NPI 1699775726
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1497210819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE STOP 1108",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142595",
"telephone_number": "419-383-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CENTRAL AVE STE 200",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063817",
"telephone_number": "567-420-1600",
"fax_number": "419-383-3338"
}
],
"practiceLocations": [
{
"address_1": "2142 N Cove Blvd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063895",
"country_code": "US",
"telephone_number": "419-591-6460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3125 Transverse Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436148008",
"country_code": "US",
"telephone_number": "419-383-6843",
"fax_number": "419-383-3338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2801 Bay Park Dr",
"address_purpose": "LOCATION",
"city": "Oregon",
"state": "OH",
"postal_code": "436164920",
"country_code": "US",
"telephone_number": "419-690-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5700 Monroe St Unit 204B",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602735",
"country_code": "US",
"telephone_number": "567-585-0675",
"fax_number": "567-585-0676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Harroun Rd",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602168",
"country_code": "US",
"telephone_number": "419-824-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERONIMO",
"first_name": "JACLYN",
"middle_name": "EMILIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0356604",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn.geronimo.1@9641.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "University of Toledo Physicians LLC",
"address_1": "2142 N Cove Blvd",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436063895",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "DISHOP",
"middle_name": "EMILIE",
"prefix": "MISS",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.