NPIMap

Organization Active NPI

Community Mercy Health Partners

Doing business as Mercy Health - Springfield Regional Medical Center

  • Rehabilitation Hospital Unit
  • Springfield, OH
National Provider Identifier
1831157205
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
COMMUNITY MERCY HEALTH PARTNERS
Doing business as
Mercy Health - Springfield Regional Medical Center
Practice address
100 Medical Center Dr
Springfield, OH 45504
Phone
(937) 523-1001
NPI assigned
May 3, 2006
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Ms. Jenelle Zelinski
Title
Cfo
Phone
(937) 523-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

100 Medical Center Dr
Springfield, OH 45504

Mailing address

PO Box 636374
Cincinnati, OH 45263-6374
Phone (937) 523-1001

Other identifiers 1

IdentifierTypeStateIssuer
5887634RMedicaidOH

Other names 1

  • MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other BLUEMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000687 OH Part A Provider - Hospital 6002884582 Practice locations: Springfield, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831157205. Details of each certification follow.

Hospital certification: CCN 36T086

Legal name
COMMUNITY MERCY HEALTH PARTNERS
Doing business as
MERCY HEALTH-SPRINGFIELD REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Aug 14, 1969 in OH
Enrollment address
100 Medical Center Dr
Springfield, OH 45504-2687
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Community of SpringfieldCCN 36T086 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Mercy ER Physicians23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jayna Nicole Brown Individual Corporate DirectorBoard Member Jan 1, 2021
Denise Rodney Individual Corporate DirectorBoard Member Jan 1, 2024
Maria Goeser Individual Corporate DirectorBoard Member Jan 1, 2021
Michael Greitzer Individual Corporate DirectorBoard Member Jan 1, 2018
Marvin Millan Narcelles Individual Corporate DirectorBoard Member Jan 1, 2019
Adam Groshans Individual Corporate DirectorBoard Member Jun 1, 2019
Truman Johnson Individual Corporate DirectorBoard Member Jan 1, 2018
Jenelle Zelinski Individual Corporate OfficerCfo May 20, 2019
Corporate DirectorBoard Member May 20, 2019
W-2 Managing EmployeeCfo May 20, 2019
James McGregor Individual Corporate DirectorBoard Member Jan 1, 2022
Lisa Cole Individual Corporate DirectorBoard Member Jan 1, 2020
Bon Secours Mercy Health Inc Organization, Blue Ash, OH Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2018 50%
Ryan Gilliam Individual Corporate DirectorBoard Member Jan 1, 2025
Nina Wiley Individual Corporate DirectorBoard Member Jan 1, 2020
Alexander Garvey Individual Corporate DirectorBoard Member Jan 1, 2023
John Starcher Individual Operational/Managerial ControlCho Admin Mar 16, 2016
Maryann Potina Individual Corporate DirectorBoard Member Jan 1, 2022
Adeleye a Edon Individual Corporate DirectorBoard Member Jan 1, 2022
The Community Hospital Health Services Foundation Organization, Springfield, OH Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2004 50%
Community Mercy Health System Organization, Springfield, OH Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2004 100%
William Ray Individual Corporate DirectorBoard Member Feb 1, 2015
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Oct 7, 2017
Joseph Gage Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Mercy Home CareSpringfield, OH, CCN 367447 Home health agency 5% Or Greater Direct Ownership Interest (50%) Oct 11, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 97

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 97

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1831157205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636374",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636374",
            "telephone_number": "937-523-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45504",
            "telephone_number": "937-523-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MERCY HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "ZELINSKI",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-523-6634",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5887634R",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "BLUEMARK",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.