Kristy Jo Jakeway, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lakeview, OH
NPI 1902255169 · NPPES record last updated Sep 28, 2016
Key facts
- NPI
- 1902255169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.019397 (OH)
- Practice address
- 11376 Oak St
Lakeview, OH 43331-9293 - Phone
- (937) 869-8081
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercer County Joint Township Community Hospital
Practice addresses (Care Compare)
800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117002670 | OH | Practitioner - Nurse Practitioner | 1456630219 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN366667 | OH | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Emergency Professionals Inc | Nurse Practitioner | Current |
Accepting new patients |
| Mercer County Joint Township Community Hospital | Current |
Accepting new patients | |
| Mercy Emergency Care Services, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Emergency Professional Services, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Mercer County Joint Township Community Hospital | Current |
Accepting new patients | |
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mary Rutan Hospital | Past | Accepting new patients |
Locations
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
950 S Main St
Celina, OH 45822
Phone (419) 586-1611
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
601 US Route 224
Ottawa, OH 45875
Phone (419) 228-8950
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
Interoperability endpoints
- kjakeway54742@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.019397 | OH | Yes |
| Emergency Registered Nurse | 163WE0003X | RN366667 | OH |
Addresses
Primary practice location
11376 Oak St
Lakeview, OH 43331-9293
Mailing address
11376 Oak St
Lakeview, OH 43331
Phone (937) 869-8081
Other names
- Mrs. Kristy Jo Preston
Other providers in Lakeview, OH
- Leslie Ann Hollar
- Sally Jane Houser
- Indian Lake Chiropractic Centre Inc.
- Indian Lake EMS Joint Ambulance District
- Indian Lake Healthcare Group, LLC
- Loretta Annette Kinney
- Tamara Kae Martin
- Talea Paige McGinnis
- New Path Clinical Services LLC
- Linda Jo Phelps
All providers in Lakeview, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.