JENNIFER M TANDOC
NPI 1508898172
Nurse Practitioner - Family in Dayton, OH

Q: What is Jennifer Tandoc's NPI number?

The NPI number for Jennifer Tandoc is 1508898172. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Jennifer Tandoc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tandoc was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

6125 N MAIN ST, DAYTON, OH 45415(731) 394-1145 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer M Tandoc NPPES

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

JENNIFER M TANDOC (NPI 1508898172) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.06859) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1996).

NPPES Registry Identity

NPI1508898172

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER M TANDOC

Location Address6125 N MAIN STDayton, OH 45415-3110

Mailing Address36 Pemberton CvJackson, TN 38305-5514 · (731) 394-1145

Phone(731) 394-1145

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996

Enumeration DateJuly 6, 2006

Last NPPES UpdateApril 24, 2020

NPPES CertifiedApril 24, 2020

✔ NPI 1508898172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.06859

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3003193 (KY)

6125 N MAIN ST, Dayton, OH 45415

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Other Identifiers 4

OtherP00847802KY · Railroad Medicare

Medicaid3088224OH

Other500012750KY · Railroad Medicare

Medicaid78003720KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Jennifer M Tandoc 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 ID6507845419

PECOS Enrollment IDI20130308000414

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

231 services134 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

56 services36 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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 15

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

MS. ALISHA M HOLMAN OTR

Occupational Therapist