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JESSICA LYNN ULLERY CNP
NPI 1063071520
Nurse Practitioner - Women's Health in Beavercreek, OH

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3535 PENTAGON BLVD STE 220, BEAVERCREEK, OH 45431(937) 429-7350(937) 431-2623 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2020, Aug 8, 2019, Jun 10, 2019 (3 updates tracked since 2019).

About Jessica Lynn Ullery Cnp NPPES

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

JESSICA LYNN ULLERY CNP (NPI 1063071520) is an individual women's health provider in Beavercreek, Ohio, licensed in Ohio (APRN.CNP.024578) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Soin Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063071520
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJESSICA LYNN ULLERYCredential: CNP
Location Address3535 PENTAGON BLVD STE 220Beavercreek, OH 45431-1705
Mailing Address3535 Pentagon Blvd Ste 220Beavercreek, OH 45431-1705 · (937) 429-7350 · Fax (937) 431-2623
Phone(937) 429-7350
Fax(937) 431-2623
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 10, 2019
Last NPPES UpdateNovember 17, 20203 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1063071520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · APRN.CNP.024578
3535 PENTAGON BLVD STE 220, Beavercreek, OH 45431
Open in Google Maps ↗

Other Identifiers 1

Medicaid0353060OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Lynn Ullery 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 ID9133454903
PECOS Enrollment IDI20190716002761
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Vicki ***** October 2, 2025

5/5
When I go for a check up I always feel completely seen and heard. I love how comfortable Jessica Ullery and the staff always makes me feel
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 8

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

NEETU GUPTA MD
Obstetrics & Gynecology (Obstetrics)
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
DR. RACHAEL NICOLE SPADY MD
Obstetrics & Gynecology
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
CAETLYN DANIELLE JONES CNM
Advanced Practice Midwife
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
DR. CASSANDRA NOEL GRAYBILL M.D.
Obstetrics & Gynecology
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
JENNIFER NICOLE ROCKWERN APRN
Advanced Practice Midwife
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
MELISSA M SOUTHWELL CNM
Advanced Practice Midwife
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
KATHERINE HENDRICKSON D.O.
Obstetrics & Gynecology
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
RHONDA JANE CONLEY C.N.M.
Advanced Practice Midwife
3535 PENTAGON BLVD STE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350

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 Ullery's NPI number?

The NPI number for Jessica Ullery is 1063071520. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Jessica Ullery located?

Jessica Ullery practices at 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431. The listed phone number is (937) 429-7350.

What is Jessica Ullery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jessica Ullery enrolled in Medicare?

Yes. Jessica Ullery 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.

What insurance does Jessica Ullery accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Jessica Ullery 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.

Is Jessica Ullery affiliated with any hospitals?

According to CMS data, Jessica Ullery is affiliated with Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Ullery was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.