JODI MARIE WILHELM NP-C
NPI 1205278702
Nurse Practitioner - Family in Lima, OH

NPI Status: Active since July 24, 2013

Contact Information

939 W MARKET ST
LIMA, OH
ZIP 45805
Phone: (419) 228-5434

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  • Individual
  • Female
  • Years of Experience 12
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JODI WILHELM

Jodi Wilhelm is a provider established in Lima, Ohio and her medical specialization is Nurse Practitioner with a focus in family with more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1205278702 assigned on July 2013. The practitioner's primary taxonomy code is 363LF0000X with license number COA.14874-NP (OH). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1205278702
Provider Name
JODI MARIE WILHELM NP-C
Gender
Female
Entity Type
Individual
Location Address
939 W MARKET ST LIMA, OH 45805
Location Phone
(419) 228-5434
Mailing Address
939 W MARKET ST LIMA, OH 45805
Mailing Phone
(419) 228-5434
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
07-24-2013
Last Update Date
07-24-2013
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A nurse practitioner (NP) like Jodi Wilhelm is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Jodi Wilhelm is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.93 for a new patient copayment and $25.3 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
COA.14874-NP
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Ambetter from Buckeye Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
  • Ambetter from Meridian

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
  • Ambetter from MHS

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway HMO 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway HMO 7450/0% (+ Incentives) - HMO
    • Anthem Bronze Pathway HMO 7500/50% Standard (Cleveland) - HMO
    • Anthem Bronze Pathway HMO 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway HMO 9450 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Catastrophic Pathway HMO 9450 ( + Incentives) - HMO
    • Anthem Gold Pathway HMO 2000/25% Standard (Cincinnati) - HMO
    • Anthem Silver Pathway HMO 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Silver - HMO
    • CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
    • CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Silver - HMO
    • CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
  • MedMutual

    • Market HMO 2500 - HMO
    • Market HMO 3850 - HMO
    • Market HMO 4000 HSA - HMO
    • Market HMO 6900 - HMO
    • Market HMO 7300 HSA - HMO
    • Market HMO 8300 - HMO
    • Market HMO 9450 - HMO
    • Market HMO Select Bronze - HMO
    • Market HMO Select Silver - HMO
    • Market HMO Standard Expanded Bronze - HMO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with first 4 free PCP or MH visits - HMO
    • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Jodi Wilhelm is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3274761648

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140109000702

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)

    4 DME suppliers used 21 Medicare Claims 21 Services Paid

  • Other DME (D1E)

    Commode chair, mobile or stationary, with fixed arms (HCPCS:E0163)

    3 DME suppliers used 13 Medicare Claims 13 Services Paid

  • Hospital beds (D1B)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    2 DME suppliers used 15 Medicare Claims 15 Services Paid

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 14 Medicare Claims 14 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 14 Medicare Claims 14 Services Paid

  • Wheelchairs (D1D)

    Standard wheelchair (HCPCS:K0001)

    3 DME suppliers used 35 Medicare Claims 35 Services Paid

  • Wheelchairs (D1D)

    Extra heavy duty wheelchair (HCPCS:K0007)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Wheelchairs (D1D)

    Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

    3 DME suppliers used 20 Medicare Claims 20 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45805 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.72
  • Minimum New Patient Price $56.74
  • Maximum New Patient Price $173.94
  • Average New Patient Copayment $21.93
  • Minimum New Patient Copayment $14.18
  • Maximum New Patient Copayment $43.48

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $101.2
  • Minimum Established Patient Price $17.31
  • Maximum Established Patient Price $141.66
  • Average Established Patient Copayment $25.3
  • Minimum Established Patient Copayment $4.32
  • Maximum Established Patient Copayment $35.41

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jodi Wilhelm is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LIMA MEMORIAL HEALTH SYSTEM1001 BELLEFONTAINE AVENUE
LIMA, OH 45804
(419) 226-3335Acute Care Hospitals
MERCY HEALTH-ST RITA'S MEDICAL CENTER730 WEST MARKET STREET
LIMA, OH 45801
(419) 227-3361Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205278702
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205471670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 7 + 1 + 6 + 7 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1205278702 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376582932 HERBERT A SCHUMM M.D.
Individual
Family Medicine939 W MARKET ST
LIMA, OH 45805
(419) 226-5077
1144201013 KURT ALAN KUHLMAN DO
Individual
Physical Medicine & Rehabilitation939 W MARKET ST STE 1
LIMA, OH 45805
(419) 228-5434
1952347338 CHRISTOPHER J. KALB CNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)939 W MARKET ST
LIMA, OH 45805
(419) 226-5077
1043291917DR. SUSAN LEE HUBBELL MD
Individual
Physical Medicine & Rehabilitation939 W MARKET ST STE 1
LIMA, OH 45805
(419) 228-5434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205278702, enumerated in the NPI registry as an "individual" on July 24, 2013

The provider is located at 939 W Market St Lima, Oh 45805 and the phone number is (419) 228-5434

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 12 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Buckeye Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $87.72 with an average copayment of $21.93 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): LIMA MEMORIAL HEALTH SYSTEM and MERCY HEALTH-ST RITA'S MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 24, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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