Active NPI
Jennifer Nicole Rockwern, APRN
- Advanced Practice Midwife
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN.CNP.0029324
- Practice address
- 3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705 - Phone
- (937) 429-7350
- Fax
- (937) 431-2623
- NPI assigned
- Mar 12, 2013
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 3007979 | KY | |
| Advanced Practice Midwife | 367A00000X | APRN.CNP.0029324 | OH | Primary |
Addresses
Primary practice location
3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
5807 Montgomery Rd
Norwood, OH 45212-1319
Phone (513) 259-6889
Other names 1
- Jennifer Nicole Byrd
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrockwern865837@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-4147
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007979 | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients | |
| Physicians & Surgeons for Women, Inc | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Ste 220
Beavercreek, OH 45431
Phone (937) 429-7350
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
2100 Emmanuel Way
Ste E
Springfield, OH 45502
Phone (866) 224-9472
600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350
382 N Detroit St
Xenia, OH 45385
Phone (937) 376-4460
Interoperability endpoints
- jrockwern26162@direct.bsmhealth.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Springfield, OH
- NPI 1790308104
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Obstetrics & Gynecology Physician
- Springfield, OH
- NPI 1508987629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1871834176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310",
"fax_number": "937-522-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 PENTAGON BLVD STE 220",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454311705",
"telephone_number": "937-429-7350",
"fax_number": "937-431-2623"
}
],
"practiceLocations": [
{
"address_1": "5807 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "OH",
"postal_code": "452121319",
"country_code": "US",
"telephone_number": "513-259-6889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCKWERN",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "3007979",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "APRN.CNP.0029324",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jrockwern865837@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Pentagon Blvd Ste 220",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454311705",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3535 Pentagon Blvd Ste 220",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454311705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BYRD",
"middle_name": "NICOLE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.