JERRY DOUGLAS HARTMAN
NPI 1184811127
Social Worker - Clinical in Mount Vernon, OH
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jerry Hartman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mansfield, OH 44904
- Reassigned Medicare billing, Ohio enrollment
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 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.
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.
MOUNT VERNON, OH 43050
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 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.
Where is Jerry Hartman located?
Jerry Hartman practices at 17606 Coshocton Rd, Mount Vernon, OH 43050. The listed phone number is (740) 397-0533.
What is Jerry Hartman's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jerry Hartman enrolled in Medicare?
Yes. Jerry Hartman 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 organization bills Medicare for Jerry Hartman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Hartman reassigns Medicare benefits to Medella Counseling Services LLC (Mansfield, 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 Jerry Hartman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Hartman accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and UnitedHealthcare list Jerry Hartman 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 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 19 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.
# Jerry Douglas Hartman · NPI 1184811127
Clinical provider in Mount Vernon, Ohio. Individual provider, active in the CMS NPPES registry since October 3, 2007.
## Identity
- **NPI:** 1184811127 (Entity type: Individual)
- **Enumerated:** October 3, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** I 9430 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 17606 COSHOCTON RD, Mount Vernon, OH 43050-9218
- **Phone:** (740) 397-0533 · **Fax:** (740) 397-1368
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Medella Counseling Services LLC (NPI 1003534843, Mansfield, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** October 3, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1184811127) · Data from the CMS NPPES public registry.