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JEANNE-MARIE NGANTCHA NKENGLEFAC
NPI 1316811698
Nurse Practitioner - Psychiatric/Mental Health in Brunswick, OH

Active since October 01, 2025PECOS Enrolled
5176 SALTON DR, BRUNSWICK, OH 44212(918) 971-8712 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeanne-marie Ngantcha Nkenglefac NPPES

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

JEANNE-MARIE NGANTCHA NKENGLEFAC (NPI 1316811698) is an individual psychiatric/mental health provider in Brunswick, Ohio, licensed in Ohio (APRN.CNP.0039995) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316811698
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEANNE-MARIE NGANTCHA NKENGLEFAC
Location Address5176 SALTON DRBrunswick, OH 44212-6420
Mailing Address5176 Salton DrBrunswick, OH 44212-6420
Phone(918) 971-8712
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 1, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1316811698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0039995
5176 SALTON DR, Brunswick, OH 44212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanne-marie Ngantcha Nkenglefac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385134162
PECOS Enrollment IDI20251110001499
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 Jeanne-marie Nkenglefac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cityblock Medical Practice, LLC
102 mi
Primary Care
6100 E MAIN ST STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 62 clinicians in this Medicare group
NPI 1013673821 (833) 904-0620

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 44212 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.

Other Providers at the Same Location NPPES

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

HEARTFELT HOMECARE LLC
Home Health
5176 SALTON DR
BRUNSWICK, OH 44212
Medina County (216) 386-7709

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 Jeanne-marie Nkenglefac's NPI number?

The NPI number for Jeanne-marie Nkenglefac is 1316811698. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Jeanne-marie Nkenglefac located?

Jeanne-marie Nkenglefac practices at 5176 Salton Dr, Brunswick, OH 44212. The listed phone number is (918) 971-8712.

What is Jeanne-marie Nkenglefac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeanne-marie Nkenglefac enrolled in Medicare?

Yes. Jeanne-marie Nkenglefac is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanne-marie Nkenglefac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne-marie Nkenglefac reassigns Medicare benefits to Cityblock Medical Practice, LLC (Columbus, 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 Jeanne-marie Nkenglefac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanne-marie Nkenglefac was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.