Individual provider Active NPI

Jennifer E Rockhold, PA-C

  • Physician Assistant
  • Lima, OH
National Provider Identifier
1689095713
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003860 Issued in OH
Practice address
1003 Bellefontaine Ave Ste 200
Lima, OH 45804-1803
Phone
(419) 224-5915
Fax
(419) 224-5918
NPI assigned
Dec 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003860 OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave Ste 200
Lima, OH 45804-1803

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.rockhold@lmpc.eclinicaldirectplus.com

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
I20140110000528 OH Practitioner - Physician Assistant 9931337359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians

Practice addresses (Care Compare)

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

140 Fox Rd
Suite 103 1/2
Van Wert, OH 45891-3400
Phone (419) 232-6700

Hospital & facility affiliations

  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003860OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 1, 2017 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 1, 2017 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

951 Commerce Pkwy
Ste 100
Lima, OH 45804

1003 Bellefontaine Ave
Ste 200
Lima, OH 45804
Phone (419) 224-5914

1003 Bellefontaine Ave
Ste 150
Lima, OH 45804
Phone (419) 998-8207

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Organizations & group practices 4

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 2

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": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1689095713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE STE 200",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041803",
            "telephone_number": "419-224-5915",
            "fax_number": "419-224-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKHOLD",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.rockhold@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1003 Bellefontaine Ave Ste 200",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458041803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.