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JESSICA M HINES NP
NPI 1801528559
Nurse Practitioner - Women's Health in Springfield, OH

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
1821 E HIGH ST, SPRINGFIELD, OH 45505(937) 323-7340(937) 323-3363 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica M Hines Np NPPES

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

JESSICA M HINES NP (NPI 1801528559) is an individual women's health provider in Springfield, Ohio, licensed in Ohio (APRN.CNP.0030009) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801528559
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJESSICA M HINESCredential: NP
Location Address1821 E HIGH STSpringfield, OH 45505-1225
Mailing Address1821 E High StSpringfield, OH 45505-1225 · (937) 323-7340 · Fax (937) 323-3363
Phone(937) 323-7340
Fax(937) 323-3363
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2022
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1801528559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · APRN.CNP.0030009
1821 E HIGH ST, Springfield, OH 45505
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jessica M Hines Np 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 ID3779965256
PECOS Enrollment IDI20220729002987
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 Reassignments

2

Medicare enrollment records show Jessica Hines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Springfield Specialty Care LLC
1.9 mi
Surgery
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1790308104 (888) 696-3541
Premier Health Specialists Inc
11 mi
Obstetrics & Gynecology
100 KAHOE LN
Yellow Springs, OH 45387
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1356639397 (937) 767-7311

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

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45505 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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Other Providers at the Same Location NPPES 9

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

JESSICA LYNNE KELSEY NP
Nurse Practitioner (Family)
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 323-7340
JENNIFER LEE WHNP-BC
Nurse Practitioner (Women's Health)
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 588-6681
AMANDA MINOR
Nurse Practitioner (Family)
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 323-7340
JANELLE THOMPSON CNM
Midwife
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 323-7340
LINDSAY KOENIG
Nurse Practitioner (Women's Health)
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 323-7340
PHYSICIANS & SURGEONS FOR WOMEN, INC
Obstetrics & Gynecology
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 323-7340
LUDE XUE
Nurse Practitioner (Family)
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 588-6681
DR. DAVID RICHARD BILLING M.D.
Obstetrics & Gynecology
1821 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 323-7453

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 Jessica Hines's NPI number?

The NPI number for Jessica Hines is 1801528559. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Jessica Hines located?

Jessica Hines practices at 1821 E High St, Springfield, OH 45505. The listed phone number is (937) 323-7340.

What is Jessica Hines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jessica Hines enrolled in Medicare?

Yes. Jessica Hines 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 Jessica Hines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Hines reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH) and Premier Health Specialists Inc (Yellow Springs, 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 Jessica Hines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Hines accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Jessica Hines 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 Jessica Hines affiliated with any hospitals?

According to CMS data, Jessica Hines is affiliated with Miami Valley Hospital, Springfield Regional Medical Center and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Hines was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.