Individual provider Active NPI

Jennifer Hannon, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1700268018
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17385-NP Issued in OH
Practice address
1161 Bethel Rd Ste.203/204
Columbus, OH 43220-2773
Phone
(614) 459-0350
Fax
(614) 459-0355
NPI assigned
Jun 23, 2015
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17385-NP OH Primary

Addresses

Primary practice location

1161 Bethel Rd Ste.203/204
Columbus, OH 43220-2773

Mailing address

1161 Bethel Rd Ste.203/204
Columbus, OH 43220-2773
Phone (614) 459-0350

Other identifiers 1

IdentifierTypeStateIssuer
0140147MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.hannon@CSR.eclinicaldirectplus.com Direct

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
I20150810002819 OH Practitioner - Nurse Practitioner 0547575276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Symptom Relief LLCGroup PAC ID 6204951767, 7 clinicians
Grady Memorial HospitalGroup PAC ID 1254314586, 6 clinicians

Practice addresses (Care Compare)

1161 Bethel Rd
Columbus, OH 43220-2773
Phone (614) 459-0350

561 W Central Ave
Delaware, OH 43015-1410
Phone (740) 615-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.54 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
69.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital CurrentSince Nov 28, 2016 Accepting new patients
Corpath LTD Current Accepting new patients
Center for Symptom Relief LLC CurrentSince May 11, 2016 Accepting new patients

Locations

1161 Bethel Rd
Ste 203204
Columbus, OH 43220
Phone (614) 459-0350

1161 Bethel Rd
Unit 203204
Columbus, OH 43220
Phone (614) 450-0350

L3652
Columbus, OH 43260

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

801 Ohio Health Blvd
Ste 270
Delaware, OH 43015
Phone (740) 615-0313

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCJAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1700268018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD  STE.203/204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-459-0350",
            "fax_number": "614-459-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD  STE.203/204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-459-0350",
            "fax_number": "614-459-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17385-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140147",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.hannon@CSR.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1161 Bethel Rd  Ste.203/204",
            "city": "COLUMBUS",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432202773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.