MRS. JENNIVIERE HOMITZ-DANIELS PMHNP-BC
NPI 1174078638
Nurse Practitioner - Psychiatric/Mental Health in Mentor, OH

Q: What is Jenniviere Homitz-daniels's NPI number?

The NPI number for Jenniviere Homitz-daniels is 1174078638. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Q: What is Jenniviere Homitz-daniels's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 24, 2016PECOS EnrolledAccepts Medicare Assignment

74.81/100

CMS Quality Rating

8701 MENTOR AVE, MENTOR, OH 44060(440) 266-0770(440) 266-0257 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2019, Aug 24, 2016 (2 updates tracked since 2016).

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About Mrs. Jenniviere Homitz-daniels Pmhnp-bc NPPES

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

MRS. JENNIVIERE HOMITZ-DANIELS PMHNP-BC (NPI 1174078638) is an individual psychiatric/mental health provider in Mentor, Ohio, licensed in Ohio (393799) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174078638

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. JENNIVIERE HOMITZ-DANIELSCredential: PMHNP-BC

Location Address8701 MENTOR AVEMentor, OH 44060-6103

Mailing Address8701 Mentor AveMentor, OH 44060-6103 · (440) 266-0770 · Fax (440) 266-0257

Phone(440) 266-0770

Fax(440) 266-0257

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 24, 2016

Last NPPES UpdateOctober 16, 20192 updates tracked since enumeration

✔ NPI 1174078638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · 393799

8701 MENTOR AVE, Mentor, OH 44060

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Other Identifiers 1

Medicaid366768OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance 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

Mrs. Jenniviere Homitz-daniels Pmhnp-bc 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 ID3274867437

PECOS Enrollment IDI20190624000336

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.

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

181 services58 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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.

74.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.4

Improvement Activities

Cost

79.52

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.

DR. BAHMAN YAMINI SHARIF M.D.

Psychiatry & Neurology (Psychiatry)