Individual provider Active NPI

Jeffrey Robert Makley, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1881229524
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.025889 Issued in OH
Practice address
5801 Tamarack Blvd
Columbus, OH 43229-3747
Phone
(614) 436-6009
Fax
(614) 436-6361
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.025889 OH Primary

Addresses

Primary practice location

5801 Tamarack Blvd
Columbus, OH 43229-3747

Mailing address

211 Edgefield Blvd
Marion, OH 43302-5801
Phone (740) 914-4178

Other practice location 1

6905 Hospital Dr Ste 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Other identifiers 1

IdentifierTypeStateIssuer
0393267MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmakley14971@direct.ohiohealth.com OhioHealth Urgent Care LLC

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
I20200402003376 OH Practitioner - Nurse Practitioner 2466881099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.95 of 100Reported as group
Quality
87.44
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025889OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Franklin County, LTD CurrentSince Oct 12, 2021 Accepting new patients
Incare Health Solutions LLC CurrentSince Mar 16, 2020 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Apr 1, 2022 Accepting new patients
Incare Health Solutions, LLC CurrentSince Mar 16, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5801 Tamarack Blvd
Columbus, OH 43229
Phone (614) 436-6009

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

211 Edgefield Blvd
Marion, OH 43302

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

1321 Bellefontaine St
Ste 100
Wapakoneta, OH 45895
Phone (567) 356-4054

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1881229524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EDGEFIELD BLVD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025801",
            "telephone_number": "740-914-4178",
            "fax_number": "740-386-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 TAMARACK BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293747",
            "telephone_number": "614-436-6009",
            "fax_number": "614-436-6361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6905 Hospital Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169600",
            "country_code": "US",
            "telephone_number": "614-923-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKLEY",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393267",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmakley14971@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Urgent Care LLC",
            "address_1": "6905 Hospital Dr Ste 130",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430169600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.