JASON VINCENT GUEVARA (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174055529

JASON VINCENT GUEVARA (CNP) is a healthcare provider. based in South lebanon, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.0029442 (OH). The NPI Number for JASON VINCENT GUEVARA (CNP) is 1174055529

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JASON VINCENT GUEVARA (CNP)
NPI
1174055529
Phone
(513) 431-8549
Address
796 FREDERICK CT
Enumeration Date
3 April 2017
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5137957557
Graduation Year
2021 (5 years ago)
PAC ID
9931597432
Group Practice PAC ID
6608029962
Professional Enrollment ID
I20211103001057
Address ID
OH450111930HA1910XAVEX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JASON VINCENT GUEVARA (CNP)

  • 796 FREDERICK CT

    SOUTH LEBANON, OH 450651393

    Phone: (513) 431-8549

    Type: Mailing

  • 6730 ROOSEVELT AVE STE 201

    MIDDLETOWN, OH 450055730

    Phone: (513) 279-8035

    Type: Location

  • 8515 HARPER POINT DR

    CINCINNATI, OH 452492402

    Phone: (513) 431-8549

    Type: Mailing

  • 1910 FAIRGROVE AVE STE E

    HAMILTON, OH 450111930

    Phone: (513) 494-4679

    Type: Mailing

  • 7162 LIBERTY CENTRE DR

    LIBERTY TOWNSHIP, OH 450692562

    Phone: (513) 795-7557

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($34).

Total Amount

$91

General + Research + Ownership

Payments

5

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2021-11-03

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
I20211103001057INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45065)

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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: 6608029962View full group profile
NameSpecialtyState
Mental Health CounselorOH
Nurse PractitionerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
-OH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What is the registry number for JASON VINCENT GUEVARA (CNP)?
The registry entry for JASON VINCENT GUEVARA (CNP) shows NPI 1174055529.
Is JASON VINCENT GUEVARA (CNP) currently accepting referrals based on NPI status?
Registry metadata lists JASON VINCENT GUEVARA (CNP) as active.
What type of care does JASON VINCENT GUEVARA (CNP) provide?
JASON VINCENT GUEVARA (CNP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JASON VINCENT GUEVARA (CNP)?
JASON VINCENT GUEVARA (CNP) shows a connection to South Lebanon, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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