JENNIFER A MICKLEY (APRN) – Acute Care Nurse Practitioner, NPI 1992336515

JENNIFER A MICKLEY (APRN) is a healthcare provider. based in Grove city, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 025365 (OH). The NPI Number for JENNIFER A MICKLEY (APRN) is 1992336515

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER A MICKLEY (APRN)
NPI
1992336515
Phone
(614) 663-5300
Address
5300 N MEADOWS DR
Enumeration Date
1 February 2020
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862316000
Graduation Year
2019 (7 years ago)
PAC ID
7618306671
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20220826001855
Address ID
FL321175167DA301XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JENNIFER A MICKLEY (APRN)

  • 5300 N MEADOWS DR

    GROVE CITY, OH 431232546

    Phone: (614) 663-5300

    Type: Location

  • 15116 CHAPEL RD

    DANVILLE, OH 430149661

    Phone: (740) 507-3759

    Type: Mailing

  • 5300 N Meadows Dr

    Grove City, OH 431232546

    Phone: (614) 663-5300

    Type: Location

  • 901 STERTHAUS DR

    ORMOND BEACH, FL 321745133

    Phone: (740) 507-3759

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-26

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
I20220826001855INurse PractitionerFLTBD

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
99291Critical care, first 30-74 minutes6738$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1715$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1111$0
View full utilization report →

Insurance plans in this area (ZIP 43123)

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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: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER A MICKLEY (APRN)?
JENNIFER A MICKLEY (APRN) — NPI 1992336515 — is the standard way to identify this listing.
Is JENNIFER A MICKLEY (APRN) listed as active for patients and plans?
The listing shows JENNIFER A MICKLEY (APRN) as active in the NPI system.
What healthcare role does JENNIFER A MICKLEY (APRN) hold?
Scheduling teams often label JENNIFER A MICKLEY (APRN) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIFER A MICKLEY (APRN)?
JENNIFER A MICKLEY (APRN)'s geographic hint is Grove City, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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