JASON W. ULITZSCH (CNP) – Family Nurse Practitioner, NPI 1720330657
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for JASON W. ULITZSCH (CNP)
5150 SANDY LN
FAIRFIELD, OH 450142738
Phone: (513) 896-9595
Fax: (513) 896-4171
Type: Location
5150 Sandy Ln
Fairfield, OH 450142738
Phone: (513) 896-9595
Fax: (513) 896-4171
Type: Location
544 PATTERSON BLVD
FAIRFIELD, OH 450142514
Phone: (513) 896-9595
Fax: (513) 896-4171
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $593.
Total Amount is formed as General ($593) + Research ($0) + Ownership ($0) = $593.
Last reported payment date: 2024-11-10 • Largest payer in this snapshot: Lilly USA, LLC ($196).
Total Amount
$593
General + Research + Ownership
Payments
25
Total payment records
General Amount
$593
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $196 |
| Astellas Pharma US Inc | $107 |
| Abbott Laboratories | $49 |
| PFIZER INC. | $37 |
| Imperative Care, Inc | $33 |
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: 2012-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121023000683 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 484 | 243 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 341 | 227 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 136 | 136 | $0 |
| G0008 | Administration of influenza virus vaccine | 102 | 100 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 97 | 95 | $0 |
Insurance plans in this area (ZIP 45014)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH |
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