Individual provider Active NPI

Jessica L Manly, CNP

  • Family Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1740627033
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.14510 Issued in OH
Practice address
400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653
Phone
(614) 899-2700
Fax
(614) 823-5656
NPI assigned
May 28, 2013
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 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 APRN.CNP.14510 OH Primary

Addresses

Primary practice location

400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653

Mailing address

400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653
Phone (614) 899-2700

Other identifiers 1

IdentifierTypeStateIssuer
0123310MedicaidOH

Other names 1

  • Jessica Manly Other name

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
I20130821001061 OH Practitioner - Nurse Practitioner 4082857065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jul 1, 2015 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Emergency Services, Inc. Past Accepting new patients
Emergency Services, Inc. Past Accepting new patients

Locations

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: jmanly19233@copcp.medicity.net

Organizations & group practices 5

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 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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1740627033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 3100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827653",
            "telephone_number": "614-899-2700",
            "fax_number": "614-823-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 3100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827653",
            "telephone_number": "614-899-2700",
            "fax_number": "614-823-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.14510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MANLY",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.