Individual provider Active NPI

Jennifer Ann Bell, APRN-CNP

  • Primary Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1528616711
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.024910 Issued in OH
Practice address
4278 Indianola Ave
Columbus, OH 43214-2806
Phone
(614) 318-4144
Fax
(614) 324-1084
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024910 OH
Registered Nurse 163W00000X RN.446612 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.024910 OH Primary

Addresses

Primary practice location

4278 Indianola Ave
Columbus, OH 43214-2806

Mailing address

68 E Duncan St
Columbus, OH 43202-2634
Phone (614) 477-1859

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
I20220913001491 OH Practitioner - Nurse Practitioner 4981089869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4278 Indianola Ave
Columbus, OH 43214-2806
Phone (614) 318-4144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024910OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Form and Function Healthcare LLC CurrentSince Mar 1, 2025 Accepting new patients
Southeast, Inc CurrentSince Jul 30, 2022 Accepting new patients
Southeast, Inc CurrentSince Jul 30, 2022 Accepting new patients

Locations

720 E Broad St
Ste 101
Columbus, OH 43215
Phone (614) 360-0122

4278 Indianola Ave
Columbus, OH 43214
Phone (614) 318-4144

16 W Long St
Columbus, OH 43215

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.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1528616711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 E DUNCAN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432022634",
            "telephone_number": "614-477-1859",
            "fax_number": "614-241-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4278 INDIANOLA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142806",
            "telephone_number": "614-318-4144",
            "fax_number": "614-324-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024910",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.446612",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.024910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.