Jenelle Niese, | |
604 W North Ave, Ada, OH 45810-1041 | |
(419) 634-0431 | |
Not Available |
Full Name | Jenelle Niese |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 604 W North Ave, Ada, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861845158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.19255 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Lima, Llc | 3375607351 | 55 |
Mercy Health - Defiance Hospital Llc | 8921074436 | 2 |
Entity Name | Mercy Health Physicians Lima, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102 |
Entity Name | Mercy Health - Defiance Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609420603 PECOS PAC ID: 8921074436 Enrollment ID: O20191023003481 |
Mailing Address | Practice Location Address |
---|---|
Jenelle Niese, 604 W North Ave, Ada, OH 45810-1041 Ph: () - | Jenelle Niese, 604 W North Ave, Ada, OH 45810-1041 Ph: (419) 634-0431 |
Akeem A Adeniyi, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 W Lincoln Ave Ste A, Ada, OH 45810 Phone: 419-634-2015 Fax: 419-634-9420 | |
Margaret Schimmoeller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 S Main St Unit 1, Ada, OH 45810 Phone: 419-772-2086 | |
Mrs. Teresa E Rush, FNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 W North Ave, Ada, OH 45810 Phone: 419-634-0431 Fax: 419-634-0540 |