Individual provider Active NPI

Jillian Lynn Garrick, APRN-CNP

  • Women's Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1558695254
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.10977 Issued in OH
Practice address
1145 Olentangy River Rd
Columbus, OH 43212-3117
Phone
(614) 293-4040
Fax
(614) 293-3465
NPI assigned
Sep 28, 2009
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.10977 OH Primary

Addresses

Primary practice location

1145 Olentangy River Rd
Columbus, OH 43212-3117

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-4040

Other identifiers 1

IdentifierTypeStateIssuer
3020484MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgarrick40151@direct.osumc.edu

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
I20091209000103 OH Practitioner - Nurse Practitioner 8921147638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Surgery, LLCGroup PAC ID 0941105266, 207 clinicians
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians

Practice addresses (Care Compare)

1145 Olentangy River Rd
Columbus, OH 43212-3117
Phone (614) 293-4040

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 366-6675

395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315

5775 N Meadows Dr
Grove City, OH 43123-7300
Phone (614) 293-4040

6700 University Blvd
Dublin, OH 43016-3508
Phone (614) 293-8536

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.10977OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Surgery, LLC CurrentSince Mar 1, 2012 Accepting new patients
Osu Radiology LLC CurrentSince May 10, 2019 Accepting new patients

Locations

1145 Olentangy River Rd
Columbus, OH 43212
Phone (614) 293-0066

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-6935

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

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.

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1558695254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-4040",
            "fax_number": "614-293-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123117",
            "telephone_number": "614-293-4040",
            "fax_number": "614-293-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRICK",
        "first_name": "JILLIAN",
        "middle_name": "LYNN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.10977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020484",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgarrick40151@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "1145 Olentangy River Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432123117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.