Individual provider Active NPI

Jennifer Diane Bissel

  • Family Nurse Practitioner
  • Marysville, OH
National Provider Identifier
1750738522
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.378897 Issued in OH
Practice address
17853 State Route 31 Ste B
Marysville, OH 43040-8835
Phone
(937) 578-4004
Fax
(937) 578-4024
NPI assigned
May 20, 2016
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 RN.378897 OH Primary

Addresses

Primary practice location

17853 State Route 31 Ste B
Marysville, OH 43040-8835

Mailing address

17853 State Route 31 Ste B
Marysville, OH 43040-8835
Phone (937) 578-4004

Other names 1

  • Jennifer Diane Fabien Former 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
I20161017000415 OH Practitioner - Nurse Practitioner 8022306588 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

17853 State Route 31
Suite B
Marysville, OH 43040-8835
Phone (937) 578-4004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.378897OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Apr 15, 2023 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jul 31, 2016 Accepting new patients
Union County Physician Corporation Current Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

7100 Hospital Dr
Dublin, OH 43016
Phone (614) 339-0467

17853 State Route 31
Marysville, OH 43040
Phone (937) 578-4200

17853 State Route 31
Ste B
Marysville, OH 43040
Phone (937) 578-4004

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

Interoperability endpoints

  • Direct secure messaging: jbissel1108000@direct.osumc.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1750738522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31 STE B",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408835",
            "telephone_number": "937-578-4004",
            "fax_number": "937-578-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31 STE B",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408835",
            "telephone_number": "937-578-4004",
            "fax_number": "937-578-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSEL",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.378897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FABIEN",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.