Mrs Jenell Suzanne Fitzgerald, CPNP in Holland, OH

Mrs Jenell Suzanne Fitzgerald, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Holland, Ohio. Her current practice location is 6855 Spring Valley Dr Ste 125, Holland, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 389-1444.

Mrs Jenell Suzanne Fitzgerald is licensed to practice in Ohio (license number NP-10253) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255667895.

Contact Information

	Mrs Jenell Suzanne Fitzgerald, CPNP
	6855 Spring Valley Dr Ste 125, Holland, OH 43528-9374
	(419) 389-1444
	(419) 407-3515

Map and Direction

Provider's Profile

Full Name	Mrs Jenell Suzanne Fitzgerald
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	6855 Spring Valley Dr Ste 125, Holland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255667895
Provider Enumeration Date: 11/01/2009
Last Update Date: 03/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3577798768
Enrollment ID: I20220301000919

Medical Identifiers

Medical identifiers for Mrs Jenell Suzanne Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255667895	NPI	-	NPPES
0092633	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	NP-10253 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jenell Suzanne Fitzgerald allows following entities to bill medicare on her behalf.

Entity Name	Northwest Pediatric Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jenell Suzanne Fitzgerald is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jenell Suzanne Fitzgerald, CPNP 6855 Spring Valley Dr Ste 125, Holland, OH 43528-9374 Ph: (419) 389-1444	Mrs Jenell Suzanne Fitzgerald, CPNP 6855 Spring Valley Dr Ste 125, Holland, OH 43528-9374 Ph: (419) 389-1444

Reviews and Comments

Nurse Practitioner Nurses in Holland, OH

Leah Meinert, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6855 Spring Valley Dr Ste 220, Holland, OH 43528 Phone: 419-389-0492 Fax: 419-407-3515
Staci Crist, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6855 Spring Valley Dr Ste 110, Holland, OH 43528 Phone: 855-659-7734
Brian King, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7059 Orchard Centre Dr, Holland, OH 43528 Phone: 567-297-4117
Juli Ann Smelser, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Eber Rd Ste F, Holland, OH 43528 Phone: 419-866-4328
Jason A Rickert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 Spring Meadows Dr, Holland, OH 43528 Phone: 419-491-3220 Fax: 419-491-3221
Diana L Messer-kruse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6135 Trust Dr, 114, Holland, OH 43528 Phone: 419-491-0041 Fax: 419-491-0042
Katherine S Jender, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6135 Trust Dr, Suite 114, Holland, OH 43528 Phone: 419-491-0041 Fax: 419-491-0042

Mrs Jenell Suzanne Fitzgerald, CPNP - Medicare Nurse Practitioner in Holland, OH