Active NPI
Jayne A Murnen, CNP
- Nurse Practitioner
- Toledo, OH
National Provider Identifier
1508105917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA14028NP
- Practice address
- 2940 N McCord Rd
Toledo, OH 43615-1753 - Phone
- (419) 842-3000
- Fax
- (419) 842-3042
- NPI assigned
- Feb 5, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA14028NP | OH | Primary |
Addresses
Primary practice location
2940 N McCord Rd
Toledo, OH 43615-1753
Mailing address
2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0079736 | Medicaid | OH | |
| 1508105917 | Medicaid | MI | |
| H167280 | Other | OH | MEDICARE PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmurnen12957@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000
950 W Wooster St
Bowling Green, OH 43402-2699
Phone (419) 373-4188
Hospital & facility affiliations
- Wood County Hospital
- Promedica Toledo Hospital
- Fostoria Community Hospital
- Henry County Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA14028NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood Health Company LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607
950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900
141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065
Interoperability endpoints
- jmurnen12957@direct.promedica.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Family Medicine Physician
- Bowling Green, OH
- NPI 1598776916
-
- Cardiovascular Disease Physician
- Toledo, OH
- NPI 1780820555
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fostoria, OH
- NPI 1275533226
-
- Critical Access Hospital
- Napoleon, OH
- NPI 1407880909
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Bowling Green, OH
- NPI 1790751253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1508105917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 N MCCORD RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151753",
"telephone_number": "419-842-3000",
"fax_number": "419-842-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 N MCCORD RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151753",
"telephone_number": "419-842-3000",
"fax_number": "419-842-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURNEN",
"first_name": "JAYNE",
"middle_name": "A",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA14028NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079736",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508105917",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "H167280",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmurnen12957@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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.