Individual provider Active NPI

Jessica Ball

  • Acute Care Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1518338292
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2015003170 Issued in OH
Practice address
3090 McBride CT
Hamilton, OH 45011-0811
Phone
(513) 863-8212
NPI assigned
Oct 7, 2015
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2015003170 OH
Acute Care Nurse Practitioner 363LA2100X 2015003170 OH Primary

Addresses

Primary practice location

3090 McBride CT
Hamilton, OH 45011-0811

Mailing address

3090 McBride CT
Hamilton, OH 45011-0811
Phone (513) 863-8212

Other identifiers 2

IdentifierTypeStateIssuer
0367438MedicaidOH
1134192727OtherOHMEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417001472 OH Practitioner - Nephrology 2668997115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3090 McBride CT
Suite B
Hamilton, OH 45011-0812

3090 McBride CT B
Hamilton, OH 45011-0812
Phone (513) 863-8212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015003170OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Assoc of SW Ohio Inc CurrentSince Feb 13, 2025 Accepting new patients
Nephrology Associates of Southwestern Ohio, Inc CurrentSince Feb 13, 2025 Accepting new patients

Locations

3090 McBride Ct
Ste B
Hamilton, OH 45011
Phone (513) 863-8212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1048/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1518338292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 MCBRIDE CT",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450110811",
            "telephone_number": "513-863-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 MCBRIDE CT",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450110811",
            "telephone_number": "513-863-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "2015003170",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "2015003170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0367438",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1134192727",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.