WILLIAM A JANSAK (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124653514

WILLIAM A JANSAK (APRN) is a healthcare provider. based in Columbus, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN.223658 (OH). The NPI Number for WILLIAM A JANSAK (APRN) is 1124653514

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM A JANSAK (APRN)
NPI
1124653514
Phone
(614) 293-9450
Address
THE RICHARD M. ROSS HEART HOSPITAL, 4TH FLOOR
Enumeration Date
6 March 2020
Last Update Date
6 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7406870835
Graduation Year
2019 (7 years ago)
PAC ID
4284056854
Group Practice PAC ID
5597799262
Professional Enrollment ID
I20200629000460
Address ID
OH431307707LA2652XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for WILLIAM A JANSAK (APRN)

  • THE RICHARD M. ROSS HEART HOSPITAL, 4TH FLOOR

    452 WEST 10TH AVE

    COLUMBUS, OH 43210

    Phone: (614) 293-9450

    Fax: (614) 293-9451

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200629000460INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes26156$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597799262View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
-OH
Clinical Social WorkerOH
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Is WILLIAM A JANSAK (APRN) listed with a National Provider Identifier?
Yes — WILLIAM A JANSAK (APRN) has NPI 1124653514 on file in the registry.
Would WILLIAM A JANSAK (APRN) appear as active to a payer?
You can treat WILLIAM A JANSAK (APRN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is WILLIAM A JANSAK (APRN)?
WILLIAM A JANSAK (APRN) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is WILLIAM A JANSAK (APRN) located near Columbus?
WILLIAM A JANSAK (APRN) currently maps to Columbus, Ohio in this extract.
When was this NPI issued?
Enumeration for WILLIAM A JANSAK (APRN) is noted as March 6, 2020 where the registry provides it.

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