Active NPI
Jacalyn Marie Cross, CNP
- Family Nurse Practitioner
- Delaware, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.11717-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3157524 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| COA.11717-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Urgent Care LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | 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
- 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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1811207160
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.