Angela Jeanette Jayes, RN, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP09997 Issued in OH

Practice address

3637 Medina Rd
Medina, OH 44256-9654

Phone

(330) 802-3868

NPI assigned

Mar 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16545/brand/1/csg/1/fhir/r4

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.

• Internal Medicine Specialists, Inc

  • Specialist
  • Cuyahoga Falls, OH
  • NPI 1093822454
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Premium Quality NP, LLC

  • Primary Care Nurse Practitioner
  • Medina, OH
  • NPI 1891303764
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1942471396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569654",
            "telephone_number": "330-802-3868",
            "fax_number": "330-334-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569654",
            "telephone_number": "330-802-3868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 Clark Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "OH",
            "postal_code": "442031022",
            "country_code": "US",
            "telephone_number": "330-590-0847",
            "fax_number": "330-334-2404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11596 Pierson Rd",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334148770",
            "country_code": "US",
            "telephone_number": "561-440-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYES",
        "first_name": "ANGELA",
        "middle_name": "JEANETTE",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN293899",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2476754",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9487904",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP09997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Janczewski, PT, DPT
• Kaci L Janezic, LISW-S
• Emily Janke
• Stephen Jaramillo, LSW,LCDC2
• Bijay K. Jayaswal, M.D.
• Natalie P Jedacek, M.D.
• Jeffers and Sons LLC
• Shaquille Jefferson
• Jeffrey R Evanko DMD LLC
• Tiffany Jiamachello, NP

• Adult Health Nurse Practitioner in Medina, OH
• Providers in Medina, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.