JACQUELINE DELAINE ADRIAN
NPI 1285293142
Nurse Practitioner - Adult Health in Kettering, OH

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3535 SOUTHERN BLVD STE 2100, KETTERING, OH 45429(937) 395-8556(937) 395-6376 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Nov 13, 2020, Aug 23, 2019 and 1 more (4 updates tracked since 2019).

About Jacqueline Delaine Adrian NPPES

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

JACQUELINE DELAINE ADRIAN (NPI 1285293142) is an individual adult health provider in Kettering, Ohio, licensed in Ohio (APRNCNP024796) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285293142
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELINE DELAINE ADRIAN
Location Address3535 SOUTHERN BLVD STE 2100Kettering, OH 45429-1221
Mailing Address3533 Southern Blvd Ste 2100Kettering, OH 45429-1267 · (937) 395-8556 · Fax (937) 395-6376
Fax(937) 395-6376
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1285293142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · APRNCNP024796
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNOP.024796 (OH)
3535 SOUTHERN BLVD STE 2100, Kettering, OH 45429

Other Identifiers 1

Medicaid0362039OH

Accepted 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

Jacqueline Delaine Adrian 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 ID4284962432
PECOS Enrollment IDI20190826001915
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.

Areas of Expertise CMS Part B claims

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 discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Acute Care)
3535 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Physician Assistant
3535 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Clinical Nurse Specialist (Critical Care Medicine)
3535 SOUTHERN BLVD STE 2100
KETTERING, OH 45429

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 Jacqueline Adrian's NPI number?

The NPI number for Jacqueline Adrian is 1285293142. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Jacqueline Adrian located?

Jacqueline Adrian practices at 3535 Southern Blvd Ste 2100, Kettering, OH 45429. The listed phone number is (937) 395-8556.

What is Jacqueline Adrian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacqueline Adrian enrolled in Medicare?

Yes. Jacqueline Adrian 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.

What insurance does Jacqueline Adrian 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 Jacqueline Adrian 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 Jacqueline Adrian affiliated with any hospitals?

According to CMS data, Jacqueline Adrian is affiliated with Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Jacqueline Adrian was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.