Jocelyn Bratt, NP-C

Individual provider Active NPI Family Nurse Practitioner · Maumee, OH

NPI 1992085708 · NPPES record last updated Nov 3, 2023

Key facts

NPI
1992085708
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
COA.12534-NP (OH)
Practice address
5705 Monclova Rd
Maumee, OH 43537-1875
Phone
(419) 893-3321
Fax
(419) 897-1316
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central Physicians (785 clinicians)

Practice addresses (Care Compare)

6005 Monclova Rd
Suite 320
Maumee, OH 43537-1862
Phone (419) 578-7555

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital · Toledo, OH · CCN 360068
  • Bay Park Community Hospital Hospital · Oregon, OH · CCN 360259
  • Mercy St Vincent Medical Center Hospital · Toledo, OH · CCN 360112

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 IDStateProvider typePAC IDDetails
I20110928000284 OH Practitioner - Nurse Practitioner 6002087897 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12534-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbratt21981@direct.promedica.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.12534-NP OH Yes

Addresses

Primary practice location

5705 Monclova Rd
Maumee, OH 43537-1875

Mailing address

5705 Monclova Rd
Maumee, OH 43537-1875
Phone (419) 893-3321

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jbratt21981@epicdirect.promedica.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 3, 2023.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1992085708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371875",
            "telephone_number": "419-893-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371875",
            "telephone_number": "419-893-3321",
            "fax_number": "419-897-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATT",
        "first_name": "JOCELYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12534-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbratt21981@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

All providers in Maumee, OH · Family Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.