Individual provider Active NPI

Jacqueline Elyse Malenfant, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1881112431
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019557 Issued in OH
Practice address
3125 Transverse Dr
Toledo, OH 43614-8008
Phone
(419) 383-3780
Fax
(419) 383-2874
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019557 OH Primary

Addresses

Primary practice location

3125 Transverse Dr
Toledo, OH 43614-8008

Mailing address

3355 Glendale Ave FL 3
Toledo, OH 43614-2426
Phone (419) 383-3780

Other practice location 1

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-4000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208003006 OH Practitioner - Nurse Practitioner 4284994310 Reassigns benefits to 1 organization

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)

3125 Transverse Dr
Toledo, OH 43614-8008
Phone (419) 383-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC CurrentSince Dec 30, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L4189
Columbus, OH 43260

3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818

3000 Arlington Ave
Ste 1620
Toledo, OH 43614

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3125 Transverse Dr
Toledo, OH 43614
Phone (419) 383-3771

1125 Hospital Dr
Toledo, OH 43614
Phone (419) 383-3761

3000 Arlington Ave
Ste 1600
Toledo, OH 43614

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1881112431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-3780",
            "fax_number": "419-383-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008",
            "telephone_number": "419-383-3780",
            "fax_number": "419-383-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43614",
            "country_code": "US",
            "telephone_number": "419-383-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALENFANT",
        "first_name": "JACQUELINE",
        "middle_name": "ELYSE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.