Individual provider Active NPI

Jennifer Messer, APRN

  • Registered Nurse
  • Clyde, OH
National Provider Identifier
1639769011
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.348787 Issued in OH
Practice address
1359 E McPherson Hwy
Clyde, OH 43410
Phone
(419) 626-6161
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN.348787 OH Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.0032297 OH

Addresses

Primary practice location

1359 E McPherson Hwy
Clyde, OH 43410

Mailing address

435 Rawson Ave
Fremont, OH 43420-2126
Phone (419) 307-1544

Other practice location 1

435 Rawson Ave
Fremont, OH 43420-2126
Phone (419) 307-1544

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
I20221006003142 OH Practitioner - Nurse Practitioner 1658757158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

112 Independence Way
Suite 110
Clyde, OH 43410-9812
Phone (419) 483-9000

Hospital & facility affiliations

  • Memorial Hospital Hospital, Fremont, OH, CCN 360156

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.348787OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Oct 3, 2022 Accepting new patients
Northern Ohio Medical Specialists LLC Single Specialty CurrentSince Oct 3, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

112 Independence Way
Ste 110
Clyde, OH 43410
Phone (419) 483-9000

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

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.

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1639769011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 RAWSON AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202126",
            "telephone_number": "419-307-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 E MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "43410",
            "telephone_number": "419-626-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Rawson Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "OH",
            "postal_code": "434202126",
            "country_code": "US",
            "telephone_number": "419-307-1544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.348787",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, OH

Sources for this page

Verify at the official NPI Registry.