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PUTNAM COUNTY PALLIATIVE CARE
NPI 1831602119
Nurse Practitioner - Adult Health in Ottawa, OH

Active since November 09, 2017
575 OTTAWA GLANDORF RD STE 3, OTTAWA, OH 45875(419) 523-4449(419) 523-6328 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2020, Nov 18, 2019, Jun 14, 2018 and 1 more (4 updates tracked since 2017).

About Putnam County Palliative Care NPPES

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

PUTNAM COUNTY PALLIATIVE CARE (NPI 1831602119) is a healthcare organization registered as an adult health in Ottawa, Ohio and active in the NPI registry since November 2017. The organization lists Jacinta Eickholt, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1831602119
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameCOUNTY OF PUTNAM OFFICE OF AUDITOR
Location Address575 OTTAWA GLANDORF RD STE 3Ottawa, OH 45875
Mailing AddressPo Box 312Ottawa, OH 45875-0312 · (419) 523-4449 · Fax (419) 523-6328
Phone(419) 523-4449
Fax(419) 523-6328
Organization SubpartYes
Authorized OfficialJacinta EickholtMedical Director · (419) 523-4449
Enumeration DateNovember 9, 2017
Last NPPES UpdateDecember 9, 20204 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1831602119 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
Also ListedPhysical Medicine & Rehabilitation · Hospice and Palliative MedicineTaxonomy 2081H0002X
575 OTTAWA GLANDORF RD STE 3, Ottawa, OH 45875
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Other Names 1

Doing Business AsPutnam County Palliative Care

Other Identifiers 1

Medicaid0311036OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Putnam County Palliative Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Putnam County Palliative Care, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Brooke Cassidy, CNP
Nurse Practitioner
NPI 1831507540
575 O-G ROAD SUITE 3
Ottawa, OH 45875
(419) 523-4449
✔ PECOS✔ Accepts Medicare2.5 mi
Jacinta Eickholt, M.D.
Family Practice
NPI 1356500805
3224 JARVIS RD
Lima, OH 45807
(419) 996-5757
✔ PECOS✔ Accepts Medicare19 mi
Stacy Klass, CNP
Nurse Practitioner
NPI 1003196114
1005 BELLEFONTAINE AVE SUITE 100
Lima, OH 45804
(419) 227-5298
✔ PECOS✔ Accepts Medicare20 mi

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

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 County Of Putnam Office Of Auditor's NPI number?

The NPI number for County Of Putnam Office Of Auditor is 1831602119. It was assigned to this organization in the NPPES registry on November 9, 2017. The provider is doing business as Putnam County Palliative Care.

Where is County Of Putnam Office Of Auditor located?

County Of Putnam Office Of Auditor is located at 575 Ottawa Glandorf Rd Ste 3, Ottawa, OH 45875. The listed phone number is (419) 523-4449.

What is County Of Putnam Office Of Auditor's specialty?

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

Is County Of Putnam Office Of Auditor enrolled in Medicare?

Yes. County Of Putnam Office Of Auditor is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Putnam Office Of Auditor?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to County Of Putnam Office Of Auditor, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Putnam Office Of Auditor was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.