Individual provider Active NPI

Jennifer M McLellan, M.D.

  • Family Medicine Physician
  • Milford, OH
National Provider Identifier
1548269657
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35075113M Issued in OH
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

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2208677MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmclellan62496@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040608000190 OH Practitioner - Emergency Medicine 5890778336 Reassigns benefits to 1 organization
I20111115000742 KY Practitioner - Family Practice 5890778336 Reassigns benefits to 1 organization

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
The Christ Hospital Health Network Urgent Care, LLCGroup PAC ID 9931388246, 16 clinicians

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 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
77.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Oct 15, 2015 Accepting new patients
The Christ Hospital Health Network Urgent Care, LLC Family Medicine CurrentSince Dec 13, 2017 Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 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.

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

Verify at the official NPI Registry.