Individual provider Active NPI

Jennifer G Heller, CRNP

  • Family Nurse Practitioner
  • Akron, OH
National Provider Identifier
1609016617
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 10616-NP Issued in OH
Practice address
468 E Market St Ste C
Akron, OH 44304-1594
Phone
(234) 312-3607
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA 10616-NP OH Primary

Addresses

Primary practice location

468 E Market St Ste C
Akron, OH 44304-1594

Mailing address

730 Carroll St
Akron, OH 44304-1934
Phone (216) 361-1223

Other identifiers 1

IdentifierTypeStateIssuer
2933099MedicaidOH

Other names 1

  • Jennifer G Tucker Former name

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
I20090421000003 OH Practitioner - Nurse Practitioner 8123175684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

6210 Brandt Pike
Huber Heights, OH 45424-4019
Phone (937) 236-8630

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
69.32
Improvement activities
40
Cost
78.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 10616-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Specialists, LLC CurrentSince Jun 1, 2025 Accepting new patients
Internal Medicine Specialists, Inc Past Accepting new patients
Asian Services in Action, Inc Past Accepting new patients

Locations

6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1444 N Main St
North Canton, OH 44720
Phone (330) 409-7700

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16545/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1609016617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CARROLL ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041934",
            "telephone_number": "216-361-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 E MARKET ST STE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041594",
            "telephone_number": "234-312-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 10616-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2933099",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TUCKER",
            "middle_name": "G",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.