Individual provider

Jessica Ullery, CNP

Women's Health Nurse Practitioner Medicare enrolled

Jessica Ullery, CNP is a Women's Health Nurse Practitioner in Beavercreek, OH, registered under NPI 1063071520.

Getting there

The practice address on file is 3535 PENTAGON BLVD STE 220, Beavercreek, OH 45431. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3535 PENTAGON BLVD STE 220, Beavercreek, OH 45431 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APRN.CNP.024578 OH Women's Health Nurse Practitioner primary

This provider holds licence APRN.CNP.024578 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
9133454903
Enrollment ID
I20190716002761

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Women's Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LW0102X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Women's Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063071520 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 10, 2019
Last updatedNov 17, 2020
StatusActive
Sole proprietorNo
CredentialCNP
Practice address 3535 PENTAGON BLVD STE 220
Beavercreek, OH 45431
(937) 429-7350
Fax (937) 431-2623
Other identifiers 0353060 · Medicaid (OH)
The last update on file is Nov 17, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063071520 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 0 7 1 5 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 0 7 2 5 4

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063071520?
NPI 1063071520 is the National Provider Identifier assigned to Jessica Ullery, CNP in Beavercreek, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Women's Health cover?
Definition to come...
How do I contact Jessica Ullery, CNP?
The phone number on file with NPPES is (937) 429-7350, last updated Nov 17, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jessica Ullery, CNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063071520 a valid number?
Yes. 1063071520 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.