Individual provider Active NPI

Jeffrey L. Kaiser, CNP

  • Acute Care Nurse Practitioner
  • Warren, OH
National Provider Identifier
1619492774
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.021519 Issued in OH
Practice address
1350 E Market St
Warren, OH 44483-6608
Phone
(330) 841-9221
NPI assigned
Aug 10, 2017
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.021519 OH Primary

Addresses

Primary practice location

1350 E Market St
Warren, OH 44483-6608

Mailing address

1350 E Market St
Warren, OH 44483
Phone (330) 760-4346

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
I20171018001149 OH Practitioner - Nurse Practitioner 6901172063 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verodana, IncGroup PAC ID 5092848739, 3 clinicians
Champion Med Express Care LLCGroup PAC ID 6800285545, 3 clinicians
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

4681 Mahoning Ave NW
Warren, OH 44483-1498
Phone 3308477778210

4687 Mahoning Ave NW
Warren, OH 44483-1418
Phone (330) 847-1132

4990 Mahoning Ave
Austintown, OH 44515-1757
Phone (330) 992-4100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Emergency Physicians Ohio Inc CurrentSince Oct 17, 2018 Accepting new patients
Quick Med Urgent Care LLC CurrentSince May 1, 2025 Accepting new patients
Zachary F. Veres D.O., LLC CurrentSince Jan 1, 2023 Accepting new patients
Champion Med Express Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Verodana, Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

4681 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-7778

4687 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-1132

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

4990 Mahoning Ave
Youngstown, OH 44515
Phone (330) 609-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.kaiser.1@19801.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1619492774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44483",
            "telephone_number": "330-760-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-841-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.021519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.