Jennifer Mack, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0027542 Issued in OH

Practice address

719 Ohio Pike
Cincinnati, OH 45245-2131

Phone

(513) 853-9700

Fax

(513) 852-8966

NPI assigned

Sep 17, 2020

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Prendergast Former name

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

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Healthcare LLCGroup PAC ID 1456648989, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pure Healthcare LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dayton, OH
  • NPI 1619115045

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• The Hospice of Dayton, Inc.

  • Community Based Hospice Care Agency
  • Dayton, OH
  • NPI 1346220142
  Medicare reassignment NPD
• Trihealth U LLC

  dba TriHealth at Walgreens

  • Community Health Clinic/Center
  • Cincinnati, OH
  • NPI 1528605177
  Medicare reassignment NPD
• Wellness for Me, LLC

  dba Medi Weighloss

  • Obesity Medicine (Family Medicine) Physician
  • Vandalia, OH
  • NPI 1659921112
  NPD
• Lifecare Hospice

  • Community Based Hospice Care Agency
  • Wooster, OH
  • NPI 1477540284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1568078376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CORPORATE CENTER DR UNIT A",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771168",
            "telephone_number": "937-898-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452131",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4090 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362324",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5403 N Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477620",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Corporate Center Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453771168",
            "country_code": "US",
            "telephone_number": "937-898-2098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "OH",
            "postal_code": "452122607",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10529 Loveland Madeira Rd",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451408963",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9775 Colerain Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452511442",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12110 Lebanon Rd",
            "address_purpose": "LOCATION",
            "city": "Sharonville",
            "state": "OH",
            "postal_code": "452411739",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "JENNIFER",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027542",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PRENDERGAST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherita Mack
• Clarissa Mack
• Deai Mack
• Ghanesia N Mack
• Jasheka Mack
• Kathleen A. Mack, PSY.D.
• Laron Rudy Mack
• Laure Nicole Mack, RN, MSN
• Lauren Mack
• Rassan Mack

• Family Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.

Verify at the official NPI Registry.