Individual provider Active NPI

Jacalyn Marie Cross, CNP

  • Family Nurse Practitioner
  • Delaware, OH
National Provider Identifier
1922315845
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.11717-NP Issued in OH
Practice address
801 Ohiohealth Blvd
Suite 260
Delaware, OH 43015-1495
Phone
(740) 615-0500
Fax
(740) 615-0501
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 COA.11717-NP OH Primary

Addresses

Primary practice location

801 Ohiohealth Blvd
Suite 260
Delaware, OH 43015-1495

Mailing address

561 W Central Ave
Delaware, OH 43015-1410
Phone (740) 615-1324

Other identifiers 1

IdentifierTypeStateIssuer
3157524MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcross54890@direct.ohiohealth.com OhioHealth Physician Group

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
I20120225000083 OH Practitioner - Nurse Practitioner 5294993010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

801 Ohio Health Blvd
Suite 260
Delaware, OH 43015-7870
Phone (740) 615-0500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.11717-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 1, 2016 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Apr 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2016 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

801 Ohio Health Blvd
Ste 260
Delaware, OH 43015
Phone (740) 615-0500

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

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

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

4141 N Hampton Dr
Ste 103
Powell, OH 43065
Phone (740) 615-2850

4141 N Hampton Dr
Ste 100
Powell, OH 43065
Phone (614) 764-0200

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1922315845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151410",
            "telephone_number": "740-615-1324",
            "fax_number": "740-615-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OHIOHEALTH BLVD",
            "address_2": "SUITE 260",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151495",
            "telephone_number": "740-615-0500",
            "fax_number": "740-615-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JACALYN",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11717-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3157524",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcross54890@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "801 OhioHealth Blvd",
            "address_2": "Ste 260",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.