Individual provider Active NPI

Jami Leigh Watson, CNP

  • Family Nurse Practitioner
  • Wellsville, OH
National Provider Identifier
1710746037
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0035642 Issued in OH
Practice address
2005 Chester Ave
Wellsville, OH 43968-1032
Phone
(330) 708-1414
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 0035642 OH Primary

Addresses

Primary practice location

2005 Chester Ave
Wellsville, OH 43968-1032

Mailing address

2005 Chester Ave
Wellsville, OH 43968-1032
Phone (330) 708-1414

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517001257 OH Practitioner - Family Practice 4688014384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
On Demand Immediate Care LLCGroup PAC ID 7315289121, 6 clinicians

Practice addresses (Care Compare)

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone (330) 953-0243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0035642OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Counseling LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamiw@ondemand.medentdirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1710746037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CHESTER AVE",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "439681032",
            "telephone_number": "330-708-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CHESTER AVE",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "439681032",
            "telephone_number": "330-708-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMI",
        "middle_name": "LEIGH",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0035642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, OH

Sources for this page

Verify at the official NPI Registry.