Individual provider Active NPI

Jennifer Rummell, APRN NP-C

  • Nurse Practitioner
  • New Philadelphia, OH
National Provider Identifier
1710655063
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0029553 Issued in OH
Practice address
1518 Sharon Valley Rd SE
New Philadelphia, OH 44663-7886
Phone
(330) 432-1045
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 318726 OH
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 0029553 OH Primary

Addresses

Primary practice location

1518 Sharon Valley Rd SE
New Philadelphia, OH 44663-7886

Mailing address

1518 Sharon Valley Rd SE
New Philadelphia, OH 44663-7886
Phone (330) 432-1045

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
I20220623001512 OH Practitioner - Nurse Practitioner 3870972755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

153 /2 N Broadway St
Sugarcreek, OH 44681-9384

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
318726OHMDRegistered Nurse
0029553OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jenerous Hydration LLC Multi-Specialty CurrentSince Sep 5, 2021 Accepting new patients
Addiction Campuses of Ohio LLC Multi-Specialty Past Accepting new patients

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 and National Provider Directory roles.

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1710655063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 SHARON VALLEY RD SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446637886",
            "telephone_number": "330-432-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 SHARON VALLEY RD SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446637886",
            "telephone_number": "330-432-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMELL",
        "first_name": "JENNIFER",
        "credential": "APRN NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "318726",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0029553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.