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JAMES DEAN FOX CNP
NPI 1053872853
Nurse Practitioner - Family in Lebanon, OH

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
1425 COLUMBUS AVE, LEBANON, OH 45036(513) 282-3010 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2025, Jul 26, 2023, Feb 2, 2022 and 1 more (4 updates tracked since 2019).

About James Dean Fox Cnp NPPES

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

JAMES DEAN FOX CNP (NPI 1053872853) is an individual family provider in Lebanon, Ohio, licensed in Ohio (APRN.CNP.024416) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053872853
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES DEAN FOXCredential: CNP
Location Address1425 COLUMBUS AVELebanon, OH 45036-8258
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Phone(513) 282-3010
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2019
Last NPPES UpdateMay 28, 20254 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1053872853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OH · APRN.CNP.024416✔ Licensed in AZ · 261132✔ Licensed in TN · 30379✔ Licensed in KY · 4003132✔ Licensed in IN · 71014079A✔ Licensed in CO · C-APN.0100916-C-NP
1425 COLUMBUS AVE, Lebanon, OH 45036
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1635 Chestnut DrWalton, KY 41094-7841 · Phone (513) 282-3010
Location 25718 Crawfordsville RdIndianapolis, IN 46224-3704 · Phone (513) 282-3010
Location 33255 S Rural RdTempe, AZ 85282-3853 · Phone (513) 282-3010
Location 44900 Port Royal RdSpring Hill, TN 37174-2804 · Phone (513) 282-3010
Location 51842 N College AveFort Collins, CO 80524-1323 · Phone (513) 282-3010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Dean Fox Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971845306
PECOS Enrollment IDI20190503001028, I20220209000210, I20220308000084, I20230707001310, I20230823003198, I20230905001284
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 Reassignments

7

Medicare enrollment records show James Fox reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Little Clinic Of Ohio LLC
25 mi
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
NPI 1982761896 (513) 728-2780
Kiosk Medicine Kentucky LLC
115 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555
Little Clinic Of In LLC
121 mi
Family
815 HIGHLANDER POINT DR
Floyds Knobs, IN 47119
  • Reassigned Medicare billing, Indiana enrollment
  • 165 clinicians in this Medicare group
NPI 1558791384 (812) 923-7146
Inpatient Consultants Of Ohio, Inc
156 mi
Hospitalist
2142 N COVE BLVD
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 29 clinicians in this Medicare group
NPI 1326210121 (419) 291-4000
The Little Clinic Of Tennessee LLC
246 mi
Family
510 HIGHWAY 76
White House, TN 37188
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1487848800 (615) 581-5089
The Little Clinic Of Colorado, LLC
1,107 mi
Family
9551 S UNIVERSITY BLVD
Highlands Ranch, CO 80126
  • Reassigned Medicare billing, Colorado enrollment
  • 205 clinicians in this Medicare group
NPI 1538354568 (303) 459-5639
The Little Clinic Of Arizona LLC
1,627 mi
Family
1300 S WATSON RD
Buckeye, AZ 85326
  • Reassigned Medicare billing, Arizona enrollment
  • 107 clinicians in this Medicare group
NPI 1023216249 (623) 241-5322

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45036 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 15

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

KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 228-7370
GABRIELLE LYNN DECAESTECKER PA
Physician Assistant (Medical)
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 282-3010
CHELSEA COSTELLO
Pharmacist
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 228-7370
MATTHEW MOELLER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 228-7370
MS. MAGDALENE MARIE HATTON FNP-C
Nurse Practitioner (Family)
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 228-7352
JAMES HENDERSON R.PH.
Pharmacist
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 228-7370
CHRIS STALLO RPH
Pharmacist
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 228-7370
BRANDON O'BRIEN
Dietetic Technician, Registered
1425 COLUMBUS AVE
LEBANON, OH 45036
Warren County (513) 228-7340

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 James Fox's NPI number?

The NPI number for James Fox is 1053872853. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is James Fox located?

James Fox practices at 1425 Columbus Ave, Lebanon, OH 45036. The listed phone number is (513) 282-3010.

What is James Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Fox enrolled in Medicare?

Yes. James Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fox reassigns Medicare benefits to 7 organizations: The Little Clinic Of Ohio LLC (Cincinnati, OH), Kiosk Medicine Kentucky LLC (Louisville, KY), Little Clinic Of In LLC (Floyds Knobs, IN), Inpatient Consultants Of Ohio, Inc (Toledo, OH), The Little Clinic Of Tennessee LLC (White House, TN) and 2 more organizations, listed in the Medicare section above. Each 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 James Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fox accept?

Health plans from Anthem Blue Cross and Blue Shield list James Fox 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 James Fox was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.