Active NPI
Jana L Bourn, MD
- Family Medicine Physician
- Wauseon, OH
National Provider Identifier
1821204124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.089018
- Practice address
- 735 S Shoop Ave
Wauseon, OH 43567-1735 - Phone
- (419) 335-3242
- Fax
- (419) 335-3222
- NPI assigned
- May 15, 2007
- Last updated
- Jun 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.089018 | OH | Primary |
Addresses
Primary practice location
735 S Shoop Ave
Wauseon, OH 43567-1735
Mailing address
735 S Shoop Ave
Wauseon, OH 43567-1735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2792456 | Medicaid | OH |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
442 W High St
Bryan, OH 43506-1681
Phone (260) 266-8210
725 S Shoop Ave
Wauseon, OH 43567-1702
Phone (419) 335-2015
Hospital & facility affiliations
- Ohioans Home Healthcare, Inc
- Fulton County Health Center
- Community Hospitals and Wellness Centers
- Parkview Regional Medical Center
- Promedica Toledo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.089018 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- jbourn6698@direct.parkviewexchange.com
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.
-
- Family Medicine Physician
- Bryan, OH
- NPI 1619915170
-
- Multi-Specialty Clinic/Center
- Wauseon, OH
- NPI 1598821175
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
-
- Critical Access Hospital
- Wauseon, OH
- NPI 1548279714
-
- Home Health Agency
- Perrysburg, OH
- NPI 1093836546
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1821204124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 S SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435671735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435671735",
"telephone_number": "419-335-3242",
"fax_number": "419-335-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURN",
"first_name": "JANA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.089018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2792456",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.