Individual provider Active NPI

Tracie Jebour, APRN CNP

  • Family Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1750882155
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022399 Issued in OH
Practice address
3455 Mill Run Dr Ste 310
Hilliard, OH 43026-9082
Phone
(833) 358-2036
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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.022399 OH Primary

Addresses

Primary practice location

3455 Mill Run Dr Ste 310
Hilliard, OH 43026-9082

Mailing address

631 N County Line Rd
Sunbury, OH 43074-8949
Phone (614) 352-9205

Other practice location 1

631 N County Line Rd
Sunbury, OH 43074-8949
Phone (614) 352-9205

Other practice location 2

3096 Cleveland Ave
Columbus, OH 43224-3682
Phone (614) 493-0846

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
I20200219000820 OH Practitioner - Nurse Practitioner 5698102325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

3096 Cleveland Ave
Columbus, OH 43224-3682
Phone (614) 493-0846

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC CurrentSince Aug 1, 2025 Accepting new patients
Summit Medical Group, PLLC PastSince Dec 17, 2019 Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

3096 Cleveland Ave
Columbus, OH 43224
Phone (614) 493-0846

Interoperability endpoints

  • Direct secure messaging: tjebour@landmarkhealth-direct.org

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1750882155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 N COUNTY LINE RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748949",
            "telephone_number": "614-352-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 MILL RUN DR STE 310",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269082",
            "telephone_number": "833-358-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 N County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "OH",
            "postal_code": "430748949",
            "country_code": "US",
            "telephone_number": "614-352-9205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3096 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432243682",
            "country_code": "US",
            "telephone_number": "614-493-0846",
            "fax_number": "614-413-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEBOUR",
        "first_name": "TRACIE",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.