Individual provider Active NPI

Jamie Sue Jackson, APRN, NP-C

  • Family Nurse Practitioner
  • Mount Orab, OH
National Provider Identifier
1518612498
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030434 Issued in OH
Practice address
150 Health Partners Cir
Mount Orab, OH 45154-8610
Phone
(513) 576-7700
Fax
(513) 576-1020
NPI assigned
Feb 18, 2022
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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.0030434 OH Primary

Addresses

Primary practice location

150 Health Partners Cir
Mount Orab, OH 45154-8610

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 576-7700

Other identifiers 1

IdentifierTypeStateIssuer
0486944MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220518000504 OH Practitioner - Nurse Practitioner 5092192724 Reassigns benefits to 1 organization
I20251030004805 KY Practitioner - Nurse Practitioner 5092192724 Reassigns benefits to 1 organization
I20251103003577 TN Practitioner - Nurse Practitioner 5092192724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

210 Sterling Run Blvd
Mount Orab, OH 45154-8350
Phone (937) 444-6995

2945 Scottsville Rd
Suite E32
Bowling Green, KY 42104-6514
Phone (270) 783-3992

510 W Hwy 76
White House, TN 37189-9203
Phone (615) 581-5089

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Dec 3, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Dec 3, 2025 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jul 20, 2022 Accepting new patients

Locations

2945 Scottsville Rd
Ste E32
Bowling Green, KY 42104
Phone (270) 783-3992

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

210 Sterling Run Blvd
Mount Orab, OH 45154
Phone (937) 444-5014

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

510 Highway 76
White House, TN 37188
Phone (615) 581-5089

Interoperability endpoints

  • Direct secure messaging: jamie.jackson@krogerhealth.eclinicaldirectplus.com

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, 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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1518612498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HEALTH PARTNERS CIR",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548610",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMIE",
        "middle_name": "SUE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486944",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

Verify at the official NPI Registry.