Individual provider Active NPI

Meghan Lane Jez, PA-C

  • Medical Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1780985895
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003163 Issued in OH
Practice address
7794 5 Mile Rd Ste 240
Cincinnati, OH 45230-2372
Phone
(513) 231-1575
Fax
(855) 818-3918
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003163 OH Primary

Addresses

Primary practice location

7794 5 Mile Rd Ste 240
Cincinnati, OH 45230-2372

Mailing address

2913 Madison Rd
Cincinnati, OH 45209-2017
Phone (513) 305-5126

Other names 1

  • Meghan Lane Kamp 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
I20110104001321 OH Practitioner - Physician Assistant 4688863863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Greater Cincinnati IncGroup PAC ID 8123052024, 5 clinicians

Practice addresses (Care Compare)

7794 5 Mile Rd
Suite 240
Cincinnati, OH 45230-2372
Phone (513) 482-8968

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003163OHMDMedical Physician Assistant

Organizations & group practices 1

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1780985895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092017",
            "telephone_number": "513-305-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7794 5 MILE RD STE 240",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302372",
            "telephone_number": "513-231-1575",
            "fax_number": "855-818-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEZ",
        "first_name": "MEGHAN",
        "middle_name": "LANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "003163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "KAMP",
            "middle_name": "LANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.