Jazmyn Nemid Agudelo Mustafa, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Lorain, OH

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Jazmyn Nemid Agudelo Mustafa, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lorain, Ohio. Her current practice location is 3745 Grove Ave, Lorain, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 240-1655.

Jazmyn Nemid Agudelo Mustafa is licensed to practice in Ohio (license number 0034820) 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 1083323851.

Contact Information

Jazmyn Nemid Agudelo Mustafa, MSN, APRN, PMHNP-BC
3745 Grove Ave,
Lorain, OH 44055-2734
(440) 240-1655
Not Available

Map and Direction




Provider's Profile

Full NameJazmyn Nemid Agudelo Mustafa
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3745 Grove Ave, Lorain, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083323851
  • Provider Enumeration Date: 11/21/2022
  • Last Update Date: 09/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911356670
  • Enrollment ID: I20231207001210

Medical Identifiers

Medical identifiers for Jazmyn Nemid Agudelo Mustafa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083323851NPI-NPPES
266312OtherTNTENNESSEE BOARD OF NURSING
0034820OtherOHOHIO BOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 266312 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0034820 (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. Jazmyn Nemid Agudelo Mustafa allows following entities to bill medicare on her behalf.
Entity NameLorain County Health & Dentistry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215194527
PECOS PAC ID: 9234047853
Enrollment ID: O20031105000774

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. Jazmyn Nemid Agudelo Mustafa 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
Jazmyn Nemid Agudelo Mustafa, MSN, APRN, PMHNP-BC
3745 Grove Ave,
Lorain, OH 44055-2734

Ph: () -		Jazmyn Nemid Agudelo Mustafa, MSN, APRN, PMHNP-BC
3745 Grove Ave,
Lorain, OH 44055-2734

Ph: (440) 240-1655

Reviews and Comments


Nurse Practitioner Nurses in Lorain, OH

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Ms. Kimberly Jean Bundridge, CNP
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Olabisi Alabi,
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Ms. Ann Lise Scarbrough, NP-C
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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).

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