Individual provider Active NPI

Jan Marie Schroeder, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1710015680
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.09021 Issued in OH
Practice address
3224 Jarvis Rd
Lima, OH 45807-2213
Phone
(419) 996-5757
Fax
(419) 996-5913
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 09021 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.09021 OH Primary

Addresses

Primary practice location

3224 Jarvis Rd
Lima, OH 45807-2213

Mailing address

3224 Jarvis Rd
Lima, OH 45807-2213
Phone (419) 996-5757

Other identifiers 1

IdentifierTypeStateIssuer
2759626MedicaidOH

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
I20070816000739 OH Practitioner - Nurse Practitioner 9739271099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

3224 Jarvis Rd
Lima, OH 45807-2213
Phone (419) 996-5757

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09021OHMDFamily Nurse Practitioner
APRN.CNP.09021OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince May 6, 2021 Accepting new patients
Mindgent Healthcare Clinics, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

3224 Jarvis Rd
Lima, OH 45807
Phone (419) 996-5757

770 W High St
Lima, OH 45801
Phone (419) 996-5240

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

967 Bellefontaine Ave
Ste 201
Lima, OH 45804
Phone (419) 996-5077

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

Interoperability endpoints

  • Direct secure messaging: jschroeder49306@direct.bsmhealth.org

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 4

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1710015680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 JARVIS RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072213",
            "telephone_number": "419-996-5757",
            "fax_number": "419-996-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 JARVIS RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072213",
            "telephone_number": "419-996-5757",
            "fax_number": "419-996-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "09021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.09021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2759626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.