Active NPI
Jennifer Lyn Cullison, DO
- Emergency Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- T1674
- Practice address
- St. Vincent Medical Center
2213 Cherry Street, Acc , 1St Floor
Toledo, OH 43608 - Phone
- (847) 445-0928
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | T1674 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | OS18912 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 34.014438 | OH |
Addresses
Primary practice location
St. Vincent Medical Center
2213 Cherry Street, Acc , 1St Floor
Toledo, OH 43608
Mailing address
7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9318 Panama City Beach Pkwy
Panama City Beach, FL 32407-4024
Phone (850) 772-6200
Hospital & facility affiliations
- Sacred Heart Hospital
- Sacred Heart Hospital on the Emerald Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18912 | FL | MD | Emergency Medicine Physician |
| 34.014438 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Pensacola Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Pensacola Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Augustine Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
7334 Navarre Pkwy
Navarre, FL 32566
Phone (850) 416-2337
9318 Panama City Beach Pkwy
Fl Gulf
Panama City Beach, FL 32407
Phone (850) 772-6200
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1801841473
-
- Emergency Medicine Physician
- Port St Joe, FL
- NPI 1588426076
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Gulf Breeze, FL
- NPI 1427356393
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215215553
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1659878304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124913",
"telephone_number": "361-761-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. VINCENT MEDICAL CENTER",
"address_2": "2213 CHERRY STREET, ACC , 1ST FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "847-445-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLISON",
"first_name": "JENNIFER",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "T1674",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS18912",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.014438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.