Individual provider Active NPI

Jessica Cristini, PA-C

  • Medical Physician Assistant
  • Dublin, OH
National Provider Identifier
1528628328
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
7281 Sawmill Rd Ste 100
Dublin, OH 43016-9021
Phone
(614) 764-0707
Fax
(614) 764-1707
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

7281 Sawmill Rd Ste 100
Dublin, OH 43016-9021

Mailing address

7281 Sawmill Rd Ste 100
Dublin, OH 43016-9021
Phone (614) 764-0707

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
I20240130002656 OH Practitioner - Physician Assistant 6608101647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Nov 18, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7281 Sawmill Rd
Dublin, OH 43016
Phone (614) 566-0152

7281 Sawmill Rd
Ste 100
Dublin, OH 43016
Phone (614) 764-0707

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1528628328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7281 SAWMILL RD STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169021",
            "telephone_number": "614-764-0707",
            "fax_number": "614-764-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7281 SAWMILL RD STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169021",
            "telephone_number": "614-764-0707",
            "fax_number": "614-764-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTINI",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.