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Active NPI 1881150100 Individual Practitioner Male Practitioner

Jonathan D Ballard , CNP

Nurse Practitioner • Waverly, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Ballard, CNP is a certified Nurse Practitioner practicing in Waverly, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Jonathan Ballard delivers high-quality medical care to the local community at 835 W EMMITT AVE.

Jonathan Ballard maintains professional affiliations with Urgent Care Specialists, Llc, National Church Residences Medical Home, Somc Medical Care Foundation, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

835 W Emmitt Ave

Waverly, OH 456901190

Telephone 7409477662
Fax 7409410099
Associated Practice Facility / Clinic
🏢 Southern Ohio Medical Center Facility NPI 1548037476

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waverly, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs +1.2 yrs vs City Avg
City Avg: 5.8 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Waverly, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballard (7 Years) 7 Yrs
Waverly Specialty Average (5.8 Years) 5.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $229.17 $92.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $315.00 $105.01
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $230.00 $74.11

Medical Specialties & State Licenses

CMS Verified: 2024-11-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.025703

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0372064 (OH)
Commercial Insurance / Payer ID Nursing License
417733 (OH)

Hospital & Practice Group Affiliations

National Church Residences Medical Home

5475 Rings Rd, Dublin, OH 430177537

Phone: 6144576950

Somc Medical Care Foundation, Inc.

835 W Emmitt Ave, Waverly, OH 456901190

Phone: 7409477662

Urgent Care Specialists, Llc

6210 Brandt Pike, Huber Heights, OH 454244019

Phone: 9372368630

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Denise Duffy , CNP

Nurse Practitioner

NPI 1194219949

Certified Nurse Practitioner

Angela Gilliland , CNP

Nurse Practitioner

NPI 1235388968

Certified Nurse Practitioner

Courtney Moore , NP

Nurse Practitioner

NPI 1497351993

Nurse Practitioner

Megan Johnson , PA-C

Physician Assistant

NPI 1568131480

Physician Assistant (Certified)

NPI 1598783730

Doctor of Osteopathic Medicine (D.O.)

Caylee Hopkins , CNP

Nurse Practitioner

NPI 1629508981

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location November 27, 2024

Registered at 835 W EMMITT AVE, WAVERLY, OH 456901190 (Tel: 7409477662)

📍
Updated Business Mailing Address November 27, 2024

Registered at 1735 27TH ST STE B06, PORTSMOUTH, OH 456622681 (Tel: 7403565000)

📍
Updated Practice Location February 14, 2022

Registered at 7777 US HIGHWAY 23, PIKETON, OH 456619102 (Tel: 7402893508)

📍
Updated Business Mailing Address February 14, 2022

Registered at 941 MARKET ST, PIKETON, OH 456619757 (Tel: 7402892371)

📍
Updated Practice Location May 19, 2021

Registered at 1825 OAKLAND AVE, PORTSMOUTH, OH 456622998 (Tel: 7403562273)

📍
Updated Practice Location December 30, 2020

Registered at 1711 27TH ST STE LL02, PORTSMOUTH, OH 456622657 (Tel: 7403562273)

📍
Updated Business Mailing Address December 30, 2020

Registered at 1735 27TH ST STE B06, PORTSMOUTH, OH 456622681 (Tel: 7403568681)

👤
Provider Name / Credentials Updated July 20, 2020

Recorded as JONATHAN BALLARD, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2020

Nurse Practitioner (License #APRN.CNP.025703 in OH)

📍
Updated Practice Location September 30, 2019

Registered at 835 W EMMITT AVE, WAVERLY, OH 456901190 (Tel: 7409477662)

📍
Updated Business Mailing Address September 30, 2019

Registered at 1735 27TH STREET, WALLER BLDG SUITE B06, PORTSMOUTH, OH 456620000 (Tel: 7403568034)

NPI Profile Active February 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2019

Registered at 1805 27TH ST, PORTSMOUTH, OH 456622640 (Tel: 7403561000)

📍
Updated Business Mailing Address February 11, 2019

Registered at 2777 SHYVILLE RD LOT 66, PIKETON, OH 456619073

👤
Provider Name / Credentials Updated February 11, 2019

Recorded as JONATHAN BALLARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Registered Nurse (License #417733 in OH)

🟢
Initial NPI Registration & Enumeration February 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881150100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2019
Last Update: November 27, 2024
Sole Proprietor: No

Mailing Address

1735 27th St Ste B06

Portsmouth, OH 456622681

Phone: 7403565000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.