Jessica Ruth Moody
Individual provider Active NPI Family Nurse Practitioner · Sebring, OH
NPI 1649160771 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1649160771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0039403 (OH)
- Practice address
- 605 E Ohio Ave
Sebring, OH 44672-1643 - Phone
- (330) 537-4661
- Fax
- (330) 537-4482
- NPI assigned
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4600 McAuley PL
Blue Ash, OH 45242-4765
4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260330002068 | OH | Practitioner - Nurse Practitioner | 0941785794 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0039403 | OH | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0039403 | OH | Yes |
Addresses
Primary practice location
605 E Ohio Ave
Sebring, OH 44672-1643
Mailing address
605 E Ohio Ave
Sebring, OH 44672-1643
Phone (330) 537-4661
Other practice location 1
3660 Stutz Dr Ste 102
Canfield, OH 44406-8149
Phone (330) 702-1585
Other practice location 2
929 Robbins Ave
Niles, OH 44446-2454
Phone (330) 652-5512
Other practice location 3
564 E 2nd St
Salem, OH 44460-2914
Phone (234) 567-8150
Other providers in Sebring, OH
- Colleen Leib
- Danielle Leah Marazza
- Mental Flex & Chill Counseling LLC
- Mercy Health Youngstown LLC
- Jennifer J Miller
- Chessica Ann Navyac
- Cheryl Oltarzewski
- Peggy Penny
- Brittany Ann Percy
- Loretta Ann Phillips
All providers in Sebring, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.