Active NPI
Jacqueline Christine Huelsman, PA
- Physician Assistant
- Middletown, OH
National Provider Identifier
1861767188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50003390
- Practice address
- 1 Medical Center Dr
Middletown, OH 45005-2584 - Phone
- (513) 420-5017
- Fax
- (937) 619-4150
- NPI assigned
- Mar 20, 2012
- Last updated
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50003390 | OH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Middletown, OH 45005-2584
Mailing address
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-3356
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50003390 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Hospitalists Inc | Past | Accepting new patients | |
| Middletown Emergency Physicians, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1578387486
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1508900226
-
- Emergency Medicine Physician
- Franklin, OH
- NPI 1932108784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1861767188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-3356",
"fax_number": "937-208-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450052584",
"telephone_number": "513-420-5017",
"fax_number": "937-619-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUELSMAN",
"first_name": "JACQUELINE",
"middle_name": "CHRISTINE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50003390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.