JALEELA PETTAWAY FNP-C
NPI 1275237356
Nurse Practitioner - Family in Toledo, OH
About Jaleela Pettaway Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JALEELA PETTAWAY FNP-C (NPI 1275237356) is an individual family provider in Toledo, Ohio, licensed in Ohio (0032388) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Jaleela Pettaway Fnp-c 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 Reassignments
3Medicare enrollment records show Jaleela Pettaway reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 147 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 124 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 375 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Promedica Toledo Hospital
Acute Care Hospitals · Toledo, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43606 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.
TOLEDO, OH 43606
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 Jaleela Pettaway's NPI number?
The NPI number for Jaleela Pettaway is 1275237356. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Jaleela Pettaway located?
Jaleela Pettaway practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 291-4000.
What is Jaleela Pettaway's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaleela Pettaway enrolled in Medicare?
Yes. Jaleela Pettaway 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 organizations bill Medicare for Jaleela Pettaway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaleela Pettaway reassigns Medicare benefits to 3 organizations: Emergency Physicians Of Northwest Ohio Inc. (Toledo, OH), Observation Physicians Of Northwest Ohio LLC (Toledo, OH) and The Toledo Hospital (Toledo, OH). Each 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 Jaleela Pettaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaleela Pettaway accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jaleela Pettaway 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.
Is Jaleela Pettaway affiliated with any hospitals?
According to CMS data, Jaleela Pettaway is affiliated with Promedica Toledo Hospital.
When was this NPI record last updated?
The NPPES record for Jaleela Pettaway was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jaleela Pettaway, FNP-C · NPI 1275237356
Family physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1275237356 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0032388 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2142 N COVE BLVD, Toledo, OH 43606-3895
- **Phone:** (419) 291-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Of Northwest Ohio Inc. (NPI 1043274418, Toledo, OH); Observation Physicians Of Northwest Ohio LLC (NPI 1700462967, Toledo, OH); The Toledo Hospital (NPI 1407854771, Toledo, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** March 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1275237356) · Data from the CMS NPPES public registry.