Individual provider Active NPI

Tammy R Jewell, PA

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1750363859
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.001924RX Issued in OH
Practice address
4440 Glen Este Withamsville Rd Ste 500
Cincinnati, OH 45245-1331
Phone
(513) 347-9999
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA811 KY
Physician Assistant 363A00000X 50.001924RX OH Primary

Addresses

Primary practice location

4440 Glen Este Withamsville Rd Ste 500
Cincinnati, OH 45245-1331

Mailing address

4440 Glen Este Withamsville Rd Ste 500
Cincinnati, OH 45245-1331
Phone (513) 347-9999

Other practice location 1

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

Other identifiers 2

IdentifierTypeStateIssuer
9500416400MedicaidKY
P00227500OtherRRMC

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
I20250828000621 OH Practitioner - Physician Assistant 5092702076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Old Bank Rd
Suite 103
Milford, OH 45150-2443
Phone (513) 624-2070

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8629

7502 State Rd
Suite 2210a
Cincinnati, OH 45255-2596
Phone (513) 751-4222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lightyear Health Clinic Ohio, Inc. Physician Assistant CurrentSince Apr 29, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 14, 2025 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Physician Assistant CurrentSince Aug 14, 2025 Accepting new patients

Locations

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

4440 Glen Este Withamsville Rd
Ste 500
Cincinnati, OH 45245
Phone (513) 753-7488

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: tjewell2963326@direct.bsmhealth.org

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 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1750363859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD STE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451331",
            "telephone_number": "513-347-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD STE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451331",
            "telephone_number": "513-347-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-2160",
            "fax_number": "859-301-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "TAMMY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA811",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001924RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500416400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00227500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.