Individual provider Active NPI

Audrey H. Jones, FNP-C

  • Nurse Practitioner
  • Lima, OH
National Provider Identifier
1992229850
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021186 Issued in OH
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

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0326771MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171019000956 OH Practitioner - Nurse Practitioner 7911273958 Reassigns benefits to 2 organizations
I20210302001275 IN Practitioner - Nurse Practitioner 7911273958 Reassigns benefits to 1 organization

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
Fort Wayne Dermatology Consultants IncGroup PAC ID 0042299885, 14 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
APRN.CNP.021186OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wheatland Dermatology LLC Dermatology CurrentSince Aug 1, 2023 Accepting new patients
Fort Wayne Dermatology Consultants Inc Dermatology CurrentSince Apr 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.