Individual provider Active NPI

Jennifer Walsh, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Batavia, OH
National Provider Identifier
1619531720
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0031221 Issued in OH
Practice address
3000 Hospital Dr
Batavia, OH 45103-1921
Phone
(513) 732-8629
Fax
(513) 732-8626
NPI assigned
Apr 24, 2019
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1126770 KY
Nurse Practitioner 363L00000X 3013444 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3013444 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0031221 OH Primary

Addresses

Primary practice location

3000 Hospital Dr
Batavia, OH 45103-1921

Mailing address

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8629

Other practice location 1

820 Dolwick Drive
Erlanger, KY 41018-2774
Phone (859) 301-5901

Other names 1

  • Jennifer Shockey/Quiogue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190814003535 KY Practitioner - Nurse Practitioner 3476880311 Reassigns benefits to 1 organization
I20220726003875 OH Practitioner - Nurse Practitioner 3476880311 Reassigns benefits to 2 organizations
I20260217001277 PA Practitioner - Nurse Practitioner 3476880311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcove Ventures LLCGroup PAC ID 1456669605, 50 clinicians

Practice addresses (Care Compare)

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8629

3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.06 of 100Reported as group
Quality
90.22
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1126770KYMDNurse Practitioner
3013444KYMDPsychiatric/Mental Health Nurse Practitioner
0031221OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Aug 31, 2019 Accepting new patients
Alcove Ventures LLC Psychiatric/Mental Health CurrentSince Jul 11, 2022 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Nurse Practitioner CurrentSince Mar 26, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Mar 26, 2023 Accepting new patients
P360 Care Services PLLC Dba Psych 360 Psychiatric/Mental Health CurrentSince Jan 5, 2026 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Aug 31, 2019 Accepting new patients

Locations

820 Dolwick Dr
Erlanger, KY 41018
Phone (859) 429-5188

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

10603 Detroit Ave
Cleveland, OH 44102
Phone (216) 226-0282

3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250

3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

246 Friendship Cir
Beaver, PA 15009
Phone (724) 728-4320

Interoperability endpoints

  • Direct secure messaging: jquiogue190848@direct-prd.stelizabeth.com

Organizations & group practices 6

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1619531720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-732-8629",
            "fax_number": "513-732-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-732-8629",
            "fax_number": "513-732-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Dolwick Drive",
            "address_purpose": "LOCATION",
            "city": "Erlanger",
            "state": "KY",
            "postal_code": "410182774",
            "country_code": "US",
            "telephone_number": "859-301-5901",
            "fax_number": "859-301-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1126770",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013444",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3013444",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0031221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHOCKEY/QUIOGUE",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.