Active NPI
Joni L McElroy, FNP-C
- Family Nurse Practitioner
- Richmond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011213A
- Practice address
- 1434 Chester Blvd
Richmond, IN 47374-1947 - Phone
- (765) 966-1600
- Fax
- (765) 962-9641
- NPI assigned
- Feb 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.020354 | OH | |
| Family Nurse Practitioner | 363LF0000X | 71011213A | IN | Primary |
Addresses
Primary practice location
1434 Chester Blvd
Richmond, IN 47374-1947
Mailing address
1100 Reid Parkway
Medical Staff Service
Richmond, IN 47374-1157
Phone (765) 966-1600
Other practice location 1
1299 E Alex Bell Rd
Centerville, OH 45459-2658
Phone (937) 436-1117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300051747 | Medicaid | IN | |
| 0208592 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmcelroy435775@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1299 E Alex Bell Rd
Centerville, OH 45459-2658
Phone (937) 436-9576
770 Balgreen Dr
Suite 201
Mansfield, OH 44906-4106
Phone (419) 756-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011213A | IN | MD | Family Nurse Practitioner |
| APRN.CNP.020354 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of North Central Ohio Inc | Current | Accepting new patients |
Locations
1299 E Alex Bell Rd
Dayton, OH 45459
Phone (937) 436-1117
770 Balgreen Dr
Ste 201
Mansfield, OH 44906
Phone (419) 756-1600
Interoperability endpoints
- jmcelroy435775@reidhealth.direct-ci.com
- jmcelroy@directaddress.net
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.
-
- Procedural Dermatology Physician
- Mansfield, OH
- NPI 1073528733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1821537069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 REID PARKWAY",
"address_2": "MEDICAL STAFF SERVICE",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741157",
"telephone_number": "765-966-1600",
"fax_number": "765-962-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 CHESTER BLVD",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741947",
"telephone_number": "765-966-1600",
"fax_number": "765-962-9641"
}
],
"practiceLocations": [
{
"address_1": "1299 E Alex Bell Rd",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454592658",
"country_code": "US",
"telephone_number": "937-436-1117",
"fax_number": "937-436-9576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCELROY",
"first_name": "JONI",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.020354",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011213A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300051747",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0208592",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmcelroy435775@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1434 Chester Blvd",
"city": "Richmond",
"state": "IN",
"country_code": "US",
"postal_code": "473741947",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.