Jessica Nicole Poe, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN.CNP.18141 Issued in OH

Practice address

140 Sackett Dr
Monroe, OH 45050-1547

Phone

(513) 320-1881

Fax

(513) 672-2310

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cleveland Kidney Disease Associates

  • Nephrology Physician
  • Beachwood, OH
  • NPI 1023263118

  OH

  Medicare reassignment NPD
• Cleveland Medical Management LLC

  • Nephrology Physician
  • Lebanon, OH
  • NPI 1730929464

  OH

  Medicare reassignment NPD
• Eventus Ecs - Ohio LLC

  • Nurse Practitioner
  • Hilliard, OH
  • NPI 1972321842
  Medicare reassignment NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  Nurse Practitioner, OH

  Medicare reassignment NPD
• Panorama Healthcare LLC

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1558992842
  Medicare reassignment NPD
• Pinnacle Care Providers, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1578799417

  Gerontology, OH

  Medicare reassignment NPD
• Skill Doc 101, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1043647803

  OH

  Medicare reassignment NPD
• Eventus Ecs, Inc

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1073353496
  NPD
• Eventus Wholehealth Midwest Inc

  • Family Medicine Physician
  • Columbus, IN
  • NPI 1386252757

  Nurse Practitioner

  NPD
• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1851769764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SACKETT DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501547",
            "telephone_number": "513-320-1881",
            "fax_number": "513-672-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SACKETT DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501547",
            "telephone_number": "513-320-1881",
            "fax_number": "513-672-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.18141",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000965284",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio Living Holdings
• Opportunities to Succeed, Inc
• Options to Succeed, Inc
• Alexis Lea Panzeca, BSN RN CHPN
• Kelly Jean Pettesch, MPT
• Carrie Pohlman, FNP
• Premier Community Health
• Christina Proffitt, LPN
• Bonnie Sue Pugh
• Kimberly Michelle Rhodus, MSW, LSW

• Primary Care Nurse Practitioner in Monroe, OH
• Providers in Monroe, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.

Verify at the official NPI Registry.