Individual provider Active NPI

Jennifer Jo Smith, CNP

  • Family Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1497233613
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023340 Issued in OH
Practice address
838 E Wooster St
Bowling Green, OH 43402-3186
Phone
(419) 372-2271
NPI assigned
Jul 31, 2018
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 APRN.CNP.023340 OH Primary

Addresses

Primary practice location

838 E Wooster St
Bowling Green, OH 43402-3186

Mailing address

838 E Wooster St
Bowling Green, OH 43402-3186

Other practice location 1

7320 State Route 108
Wauseon, OH 43567-9244
Phone (419) 285-6685

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.smith.p1@direct.whc.nextgenshare.com

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
I20181226002228 OH Practitioner - Nurse Practitioner 2365787181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

725 S Shoop Ave
Wauseon, OH 43567-1701
Phone (419) 335-2015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023340OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants Inc CurrentSince Jan 20, 2023 Accepting new patients
Infusion Associates of Ohio LLC CurrentSince Jul 19, 2022 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Aug 1, 2022 Accepting new patients
Mind Redo CurrentSince Jun 1, 2021 Accepting new patients
FCHC Medical Care, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

L2540
Columbus, OH 43260

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

2000 Regency Ct
Ste 100A
Toledo, OH 43623
Phone (833) 394-0600

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

7320 State Route 108
Ste A
Wauseon, OH 43567
Phone (419) 285-6655

Interoperability endpoints

  • Direct secure messaging: jennifer.smith.p1@direct.whc.nextgenshare.com
  • Direct secure messaging: jennifer.smith@fultoncounty.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1497233613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023186",
            "telephone_number": "419-372-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 State Route 108",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435679244",
            "country_code": "US",
            "telephone_number": "419-285-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.smith.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "838 E Wooster St",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434023186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.