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JESSICA A. ROLFES
NPI 1053867390
Nurse Practitioner - Pediatrics in Bellefontaine, OH

Active since August 28, 2016PECOS Enrolled
118 DOWELL AVE, BELLEFONTAINE, OH 43311(937) 593-5437(937) 593-0110 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2018, Apr 20, 2018, Aug 28, 2016 (3 updates tracked since 2016).

About Jessica A. Rolfes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA A. ROLFES (NPI 1053867390) is an individual pediatrics provider in Bellefontaine, Ohio, licensed in Ohio (APRN.CNP.19204) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2016).

NPPES Registry Identity

NPI1053867390
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA A. ROLFES
Location Address118 DOWELL AVEBellefontaine, OH 43311
Mailing Address118 Dowell AveBellefontaine, OH 43311-2305 · (937) 593-5437 · Fax (937) 593-0110
Phone(937) 593-5437
Fax(937) 593-0110
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2016
Enumeration DateAugust 28, 2016
Last NPPES UpdateJune 11, 20183 updates tracked since enumeration
✔ NPI 1053867390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · APRN.CNP.19204
Also ListedPediatricsTaxonomy 208000000X · License COA.19204-NP (OH)
118 DOWELL AVE, Bellefontaine, OH 43311
Open in Google Maps ↗

Other Identifiers 1

Medicaid0184517OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica A. Rolfes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880166578
PECOS Enrollment IDI20260613000018
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Rolfes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Rutan Hospital
Same address
Rural Health
118 DOWELL AVE
Bellefontaine, OH 43311
  • Reassigned Medicare billing, Ohio enrollment
  • 131 clinicians in this Medicare group
NPI 1316785306 (937) 593-5437

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TREVOR PAUL MAURER M.D.
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
LINDA A COSTIN DO
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
JMAL ALDEEN ALHAJ MBCHB
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
MARY RUTAN HOSPITAL
Clinic/Center (Rural Health)
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
ALLANAH KING DO
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
JULIE DEVINE APRN-CNP
Nurse Practitioner (Pediatrics)
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
LOGAN VIEW PEDIATRICS
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
EMMA I KROCK CNP
Nurse Practitioner (Pediatrics)
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Rolfes's NPI number?

The NPI number for Jessica Rolfes is 1053867390. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Jessica Rolfes located?

Jessica Rolfes practices at 118 Dowell Ave, Bellefontaine, OH 43311. The listed phone number is (937) 593-5437.

What is Jessica Rolfes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Rolfes enrolled in Medicare?

Yes. Jessica Rolfes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Rolfes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Rolfes reassigns Medicare benefits to Mary Rutan Hospital (Bellefontaine, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Rolfes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Rolfes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Jessica Rolfes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Rolfes was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.