JERRY DOUGLAS HARTMAN
NPI 1184811127
Social Worker - Clinical in Mount Vernon, OH

Q: What is Jerry Hartman's NPI number?

The NPI number for Jerry Hartman is 1184811127. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Q: What is Jerry Hartman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Hartman was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 03, 2007PECOS EnrolledAccepts Medicare Assignment

17606 COSHOCTON RD, MOUNT VERNON, OH 43050(740) 397-0533(740) 397-1368 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry Douglas Hartman NPPES

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

JERRY DOUGLAS HARTMAN (NPI 1184811127) is an individual clinical provider in Mount Vernon, Ohio, licensed in Ohio (I 9430) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1184811127

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJERRY DOUGLAS HARTMAN

Location Address17606 COSHOCTON RDMount Vernon, OH 43050-9218

Mailing Address2803 Akron RdWooster, OH 44691-7904 · (330) 264-3232 · Fax (330) 202-3878

Phone(740) 397-0533

Fax(740) 397-1368

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateOctober 3, 2007

✔ NPI 1184811127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I 9430

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

17606 COSHOCTON RD, Mount Vernon, OH 43050

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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

Jerry Douglas Hartman 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 ID5799917456

PECOS Enrollment IDI20230323001584

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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

$0.00 typical visit price

range $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 20

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

STEWART K GERMAN III QMHS

Case Manager/Care Coordinator