Individual provider Active NPI

Jessica Hartman, FNP-C

  • Family Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1922480276
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.17484 Issued in OH
Practice address
1103 Village Square Dr Ste 100
Perrysburg, OH 43551-1762
Phone
(419) 872-3213
Fax
(419) 872-9549
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.17484 OH
Family Nurse Practitioner 363LF0000X 3017494 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.17484 OH Primary

Addresses

Primary practice location

1103 Village Square Dr Ste 100
Perrysburg, OH 43551-1762

Mailing address

2200 Jefferson Ave
Toledo, OH 43604-7101

Other practice location 1

225 Medical Center Dr Ste 201
Paducah, KY 42003-7907
Phone (513) 752-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150729010050 OH Practitioner - Nurse Practitioner 0143534578 Reassigns benefits to 2 organizations
I20250213002578 KY Practitioner - Nurse Practitioner 0143534578 Reassigns benefits to 2 organizations
I20251021002710 VA Practitioner - Nurse Practitioner 0143534578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians
Bon Secours Mercy Health Virtual Care LLCGroup PAC ID 4688044977, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

1103 Village Square Dr
Suite 100
Perrysburg, OH 43551-1762
Phone (419) 872-3213

225 Medical Ctr Dr
Suite 201
Paducah, KY 42003-7907
Phone (513) 752-8000

5818 D Harbour View Blvd
Suite 250
Suffolk, VA 23435-2658
Phone (513) 752-8000

601 Ivy Gtwy
Cincinnati, OH 45245-1898
Phone (513) 752-8000

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.17484OHMDNurse Practitioner
3017494KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Mercy Health Virtual Care LLC CurrentSince Jan 30, 2025 Accepting new patients
Bon Secours Mercy Health Virtual Care LLC CurrentSince Feb 25, 2025 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Apr 30, 2020 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Apr 30, 2020 Accepting new patients
Bon Secours Mercy Health Virtual Care LLC CurrentSince Jan 30, 2025 Accepting new patients
Mercy Health Physicians Kentucky LLC Nurse Practitioner CurrentSince Jan 30, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health System Northern Past Accepting new patients

Locations

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

225 Medical Center Dr
Ste 201
Paducah, KY 42003
Phone (270) 441-4200

601 Ivy Gtwy
Cincinnati, OH 45245
Phone (513) 752-8000

1103 Village Square Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 872-3213

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

5818D Harbour View Blvd
Unit 250
Suffolk, VA 23435
Phone (513) 752-8000

Interoperability endpoints

  • Direct secure messaging: jhartman710608@direct.bsmhealth.org

Organizations & group practices 8

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 4

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1922480276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR STE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511762",
            "telephone_number": "419-872-3213",
            "fax_number": "419-872-9549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037907",
            "country_code": "US",
            "telephone_number": "513-752-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.17484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.