Jason Blake Poole, - Medicare Nurse Practitioner in Ashtabula, OH

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Jason Blake Poole, is a medicare enrolled "Nurse Practitioner - Family" in Ashtabula, Ohio. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Hospitals Urgent Care, Llc, Emergency Professional Services, Inc. and his current practice location is 2420 Lake Ave, Ashtabula, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 997-2262.

Jason Blake Poole is licensed to practice in Ohio (license number APRN.CNP.023883) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831679042.

Contact Information

Jason Blake Poole,
2420 Lake Ave,
Ashtabula, OH 44004-4954
(440) 997-2262
Not Available

Map and Direction




Provider's Profile

Full NameJason Blake Poole
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location2420 Lake Ave, Ashtabula, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Blake Poole graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1831679042
  • Provider Enumeration Date: 08/16/2018
  • Last Update Date: 08/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476807009
  • Enrollment ID: I20181116001079

Medical Identifiers

Medical identifiers for Jason Blake Poole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831679042NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.023883 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Hospitals Urgent Care, Llc397198560781
Emergency Professional Services, Inc.7214832435112

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. Jason Blake Poole allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864
Entity NameHometown Urgent Care Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790030385
PECOS PAC ID: 8123270840
Enrollment ID: O20211014001382
Entity NameUniversity Hospitals Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124765052
PECOS PAC ID: 3971985607
Enrollment ID: O20220727004332

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. Jason Blake Poole 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 AddressPractice Location Address
Jason Blake Poole,
Po Box 1436,
Andover, OH 44003-1436

Ph: (440) 858-7623		Jason Blake Poole,
2420 Lake Ave,
Ashtabula, OH 44004-4954

Ph: (440) 997-2262

Reviews and Comments


Nurse Practitioner Nurses in Ashtabula, OH

Jennie Ashley, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2259 Lake Ave, Ashtabula, OH 44004
Phone: 440-994-7654    
Carol G Kercher, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1230 Lake Ave, Ashtabula, OH 44004
Phone: 440-964-2218    Fax: 440-964-8067
Crystal Lynn Severino, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3315 N Ridge Rd E Ste 700a, Ashtabula, OH 44004
Phone: 440-484-2130    
Diana Bucher, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 635 Lake Ave, Ashtabula, OH 44004
Phone: 440-812-9126    
Ms. Erin Frances Siegel, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3315 N Ridge Rd E Ste 100, Ashtabula, OH 44004
Phone: 440-964-8387    
Mrs. Melissa Anne Vance, FNP-BC, DCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2141 Lake Ave, Ashtabula, OH 44004
Phone: 440-443-0442    Fax: 440-755-8010
Candice Pollard-reed, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4726 Main Ave, Ashtabula, OH 44004
Phone: 440-992-8552    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.