Individual provider Active NPI

Jenna M Panos, NP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1639714884
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024645 Issued in OH
Practice address
5005 Arlington Centre Blvd
Columbus, OH 43220-2912
Phone
(614) 246-6900
Fax
(614) 453-1547
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 APRN.CNP.024645 OH Primary

Addresses

Primary practice location

5005 Arlington Centre Blvd
Columbus, OH 43220-2912

Mailing address

5005 Arlington Centre Blvd
Columbus, OH 43220-2912
Phone (614) 246-6900

Other practice location 1

6753 Longshore St
Dublin, OH 43017-2671
Phone (614) 246-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024645OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Aesthetic and Plastic Surgery, Inc PastSince Feb 1, 1997 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1639714884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-246-6900",
            "fax_number": "614-453-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-246-6900",
            "fax_number": "614-453-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6753 Longshore St",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172671",
            "country_code": "US",
            "telephone_number": "614-246-6900",
            "fax_number": "614-453-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANOS",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.