Jacqueline Leight Reichert Grimes
Individual provider Active NPI Family Nurse Practitioner · Lakeside Park, KY
NPI 1548735384 · NPPES record last updated Oct 8, 2018
Key facts
- NPI
- 1548735384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- .023697 (OH)
- Practice address
- 334 Farmington Dr
Lakeside Park, KY 41017-3195 - Phone
- (859) 446-6263
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Cincinnati Physicians Company LLC
Practice addresses (Care Compare)
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- West Chester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181231001879 | OH | Practitioner - Nurse Practitioner | 1254676836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .023697 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Current |
Accepting new patients |
Locations
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335
7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000
Interoperability endpoints
- jgrimes23484@direct.uchealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | .023697 | OH | Yes |
Addresses
Primary practice location
334 Farmington Dr
Lakeside Park, KY 41017-3195
Mailing address
334 Farmington Dr
Lakeside Park, KY 41017-3195
Other providers in Lakeside Park, KY
- Concinnity Medical Devices, Inc
- Aarielle Cooley
- Ellen Yass-Reed, M.a. PLLC
- Fragge Allergy & Asthma Clinics PSC
- Christina Friedly
- Zachary John Grove
- Karan Sue Hackman
- Jessica Ryan Hall
- Healing Hand Professionals, LLC
- Olivia Hovermale
All providers in Lakeside Park, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.