MRUDULA JELISH (NP) – Nurse Practitioner, NPI 1336584994

MRUDULA JELISH (NP) is a healthcare provider. based in Toledo, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. LG-0000672 (DE). The NPI Number for MRUDULA JELISH (NP) is 1336584994

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRUDULA JELISH (NP)
NPI
1336584994
Phone
(419) 252-6018
Address
333 N SUMMIT ST FL 7
Enumeration Date
8 May 2013
Last Update Date
25 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3025436165
Graduation Year
2013 (13 years ago)
PAC ID
5991946923
Group Practice PAC ID
0244492072
Professional Enrollment ID
I20130802000148
Address ID
DE198084047WI1601XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

Provider Addresses for MRUDULA JELISH (NP)

  • 333 N SUMMIT ST FL 7

    HEARTLAND CARE PARTNERS

    TOLEDO, OH 436042615

    Phone: (419) 252-6018

    Fax: (800) 564-5952

    Type: Mailing

  • 5651 LIMESTONE RD

    HEARTLAND CARE PARTNERS

    WILMINGTON, DE 198081217

    Phone: (419) 252-6018

    Fax: (800) 564-5952

    Type: Location

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Lilly USA, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$16
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: 2013-08-02

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
I20130802000148INurse PractitionerDETBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,410204$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes149132$0
99316Nursing facility discharge management, more than 30 minutes106104$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes9259$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 43604)

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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: 0244492072View full group profile
NameSpecialtyState
Family PracticeDE
Nurse PractitionerDE
P S Y C H I A T R YMO
Nurse PractitionerMD
Internal MedicineDE
Osteopathic Manipulative MedicineDE
Nurse PractitionerDE
Nurse PractitionerPA
Nurse PractitionerDE
-TN

Reviews

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Frequently asked questions

Can I cross-check MRUDULA JELISH (NP) using NPI 1336584994?
NPI 1336584994 belongs to MRUDULA JELISH (NP); compare other details if you need extra assurance.
Would MRUDULA JELISH (NP) appear as active to a payer?
You can treat MRUDULA JELISH (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRUDULA JELISH (NP)?
MRUDULA JELISH (NP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRUDULA JELISH (NP)?
Travel planning: use Toledo, Ohio as the reference point for MRUDULA JELISH (NP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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