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CARLY JONES
NPI 1205557683
Nurse Practitioner - Family in Blacklick, OH

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
425 ROCKY SPRINGS DR, BLACKLICK, OH 43004(614) 562-7018 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Jones NPPES

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

CARLY JONES (NPI 1205557683) is an individual family provider in Blacklick, Ohio, licensed in Ohio (0031993) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205557683
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY JONES
Location Address425 ROCKY SPRINGS DRBlacklick, OH 43004-8327
Mailing Address425 Rocky Springs DrBlacklick, OH 43004-8327
Phone(614) 562-7018
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 6, 2022
NPPES CertifiedAugust 1, 2022
✔ NPI 1205557683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 0031993
425 ROCKY SPRINGS DR, Blacklick, OH 43004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., MedMutual, Oscar Health Insurance.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

Carly Jones 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 ID9739538984
PECOS Enrollment IDI20231213000616
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.

Medicare Billing Reassignment

Medicare enrollment records show Carly Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Allergy And Asthma Inc
21 mi
Allergy
6565 PERIMETER DRIVE
Dublin, OH 43016
  • Reassigned Medicare billing, Ohio enrollment
  • 15 clinicians in this Medicare group
NPI 1639572381 (614) 328-9927

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
878 services13 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
362 services133 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
122 services11 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
50 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43004 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.

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 Carly Jones's NPI number?

The NPI number for Carly Jones is 1205557683. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Carly Jones located?

Carly Jones practices at 425 Rocky Springs Dr, Blacklick, OH 43004. The listed phone number is (614) 562-7018.

What is Carly Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carly Jones enrolled in Medicare?

Yes. Carly Jones 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 Carly Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Jones reassigns Medicare benefits to Premier Allergy And Asthma Inc (Dublin, 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 Carly Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Jones accept?

Health plans from Antidote Health Plan of Ohio, Inc., MedMutual and Oscar Health Insurance list Carly Jones 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 Carly Jones was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.