Active NPI
Audrey H. Jones, FNP-C
- Nurse Practitioner
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.021186
- Practice address
- 920 W Market St Ste 320
Lima, OH 45805-2777 - Phone
- (937) 433-7536
- Fax
- (937) 433-9612
- NPI assigned
- Aug 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | APRN.CNP.021186 | OH | |
| Nurse Practitioner | 363L00000X | APRN.CNP.021186 | OH | Primary |
Addresses
Primary practice location
920 W Market St Ste 320
Lima, OH 45805-2777
Mailing address
7835 Paragon Rd
Dayton, OH 45459-4021
Phone (937) 436-4146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0326771 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 W Wayne St
Paulding, OH 45879-1544
Phone (260) 436-8000
7881 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone (260) 436-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.59 of 100
- Quality
- 89.18
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 90.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.021186 | OH | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheatland Dermatology LLC | Dermatology | Current | Accepting new patients |
| Fort Wayne Dermatology Consultants Inc | Dermatology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
7881 Carnegie Blvd
Fort Wayne, IN 46804
11635 Coldwater Rd
Fort Wayne, IN 46845
Phone (260) 637-1661
454 E DuPont Rd
Fort Wayne, IN 46825
Phone (239) 888-4910
208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
1050 E Greenville Rd
Saint Marys, OH 45885
Phone (419) 394-3331
Interoperability endpoints
- ajones@fwderm.emadirect.md
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.
-
- Dermatology Physician
- St Marys, OH
- NPI 1477931608
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1992229850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7835 PARAGON RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594021",
"telephone_number": "937-436-4146",
"fax_number": "937-434-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W MARKET ST STE 320",
"city": "LIMA",
"state": "OH",
"postal_code": "458052777",
"telephone_number": "937-433-7536",
"fax_number": "937-433-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "AUDREY",
"middle_name": "H.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "APRN.CNP.021186",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.021186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0326771",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.