Individual provider Active NPI

Jessica Lynn Duke, APRN

  • Primary Care Nurse Practitioner
  • Bellbrook, OH
National Provider Identifier
1699317610
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.025800 Issued in OH
Practice address
1930 N Lakeman Dr Ste 109
Bellbrook, OH 45305-1200
Phone
(937) 203-3079
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.025800 OH Primary

Addresses

Primary practice location

1930 N Lakeman Dr Ste 109
Bellbrook, OH 45305-1200

Mailing address

9909 Olde Park Dr
Tipp City, OH 45371-8120
Phone (937) 536-8300

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
I20191219002872 OH Practitioner - Nurse Practitioner 0840624193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weller Health TransitionsGroup PAC ID 2567771041, 7 clinicians
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Practice addresses (Care Compare)

1600 Saint Paris Pike
Springfield, OH 45504-1226
Phone (937) 399-8131

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

2655 W National Rd
Springfield, OH 45504-3617
Phone (937) 525-3015

3 Masonic Dr
Springfield, OH 45504-3658
Phone (937) 319-3473

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weller Health Transitions, LLC CurrentSince Oct 20, 2019 Accepting new patients
Pai Participant 1 LLC CurrentSince Oct 12, 2020 Accepting new patients

Locations

2580 Hibiscus Way
Beavercreek, OH 45431
Phone (360) 799-3006

1930 N Lakeman Dr
Ste 109
Bellbrook, OH 45305
Phone (937) 203-3079

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

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.

Hospital & facility affiliations 3

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1699317610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 OLDE PARK DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453718120",
            "telephone_number": "937-536-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 N LAKEMAN DR STE 109",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453051200",
            "telephone_number": "937-203-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.025800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellbrook, OH

Sources for this page

Verify at the official NPI Registry.