Individual provider Active NPI

Jessica Marie Bettinger, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1760133318
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0030511 Issued in OH
Practice address
5500 Verulam Ave
Cincinnati, OH 45213-2418
Phone
(513) 841-3014
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN.CNP.0030511 OH Primary

Addresses

Primary practice location

5500 Verulam Ave
Cincinnati, OH 45213-2418

Mailing address

76 Wooded Ridge Dr
Amelia, OH 45102-1862

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
I20220420000281 OH Practitioner - Nurse Practitioner 1052708161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Jefferson St
Suite 2C
Lynchburg, VA 24504-1723

10901 Stonelake Blvd
Suite 200
Austin, TX 78759-5749

1501 Madison Rd
Walnut Hills, OH 45206-1706

PO Box
Suite 632266
Cincinnati, OH 45263-2266

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Single Specialty CurrentSince Mar 16, 2022 Accepting new patients
PA Post Acute Services PC Single Specialty CurrentSince Aug 4, 2024 Accepting new patients
CV Operating Co., LLC. Single Specialty Past Accepting new patients
Greater Cincinnati Behavioral Health Services Single Specialty Past Accepting new patients

Locations

5501 Verulam Ave
Cincinnati, OH 45213
Phone (513) 631-1310

5500 Verulam Ave
Cincinnati, OH 45213
Phone (513) 531-6444

2300 Montana Ave
Cincinnati, OH 45211
Phone (513) 628-5247

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1760133318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WOODED RIDGE DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 VERULAM AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132418",
            "telephone_number": "513-841-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTINGER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.