Active NPI
Jennifer M McLellan, M.D.
- Family Medicine Physician
- Milford, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35075113M
- Practice address
- 935 State Route 28
Milford, OH 45150-1957 - Phone
- (513) 831-8555
- Fax
- (513) 831-8685
- NPI assigned
- Jul 20, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35075113M | OH | Primary |
Addresses
Primary practice location
935 State Route 28
Milford, OH 45150-1957
Mailing address
935 State Route 28
Milford, OH 45150-1957
Phone (513) 831-5955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2208677 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmclellan62496@direct.thechristhospital.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1955 Dixie Hwy
Suite F
Ft Wright, KY 41011-2882
Phone (859) 292-9176
6560 Harrison Ave
Cincinnati, OH 45247-7823
Phone (513) 574-9700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.46 of 100
- Quality
- 87.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Park Medical Associates, Inc. | Current | Accepting new patients | |
| The Christ Hospital Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| The Christ Hospital Health Network Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| CG Medical Associates Inc | Family Medicine | Past | Accepting new patients |
| Samaritan Emergency Corp | Past | Accepting new patients |
Locations
1955 Dixie Hwy
Ste F
Ft Wright, KY 41011
Phone (859) 292-9176
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
6560 Harrison Ave
Cincinnati, OH 45247
Phone (513) 564-1366
4440 Red Bank Rd
Ste 110
Cincinnati, OH 45227
Phone (513) 564-1366
2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1477867208
Family Medicine, KY
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1841310331
-
dba Tchma
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1114107919
Family Medicine
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1548269657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 STATE ROUTE 28",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501957",
"telephone_number": "513-831-5955",
"fax_number": "513-831-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 STATE ROUTE 28",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501957",
"telephone_number": "513-831-8555",
"fax_number": "513-831-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLELLAN",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35075113M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2208677",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmclellan62496@direct.thechristhospital.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4440 Red Bank Rd Ste 110",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452272177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.