Individual provider Active NPI

Jennifer M Sertell, DC

  • Chiropractor
  • Urbana, OH
National Provider Identifier
1821043670
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3504 Issued in OH
Practice address
848 Scioto St
Urbana, OH 43078-2255
Phone
(937) 484-3400
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3504 OH Primary

Addresses

Primary practice location

848 Scioto St
Urbana, OH 43078-2255

Mailing address

848 Scioto St
Urbana, OH 43078-2255
Phone (937) 484-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000252 OH Practitioner - Chiropractic 3375502669 Receives reassigned benefits from 1 practitioner
Practice locations: Urbana, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

848 Scioto St
Urbana, OH 43078-2255
Phone (937) 484-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3504OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer M. Sertell Chiropractor CurrentSince Jan 1, 1990 Accepting new patients
Hatfield Chiropractic Clinic Inc Chiropractor Past Accepting new patients
Amerihealth Chiropractic Center, Inc. Chiropractor PastSince Apr 27, 2024 Accepting new patients

Locations

848 Scioto St
Urbana, OH 43078
Phone (937) 484-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1821043670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-484-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-484-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERTELL",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.