JASON BLAKE POOLE
NPI 1831679042
Nurse Practitioner - Family in Ashtabula, OH

Q: What is Jason Poole's NPI number?

The NPI number for Jason Poole is 1831679042. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Q: What is Jason Poole'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 Jason Poole was last updated on August 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 16, 2018PECOS EnrolledAccepts Medicare Assignment

61.2/100

CMS Quality Rating

2420 LAKE AVE, ASHTABULA, OH 44004(440) 997-2262 Get Directions Write a Review

NPPES record last updated: August 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2023, Nov 2, 2018, Aug 16, 2018 (3 updates tracked since 2018).

On this page

About Jason Blake Poole NPPES

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

JASON BLAKE POOLE (NPI 1831679042) is an individual family provider in Ashtabula, Ohio, licensed in Ohio (APRN.CNP.023883) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Ashtabula County Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831679042

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJASON BLAKE POOLE

Location Address2420 LAKE AVEAshtabula, OH 44004-4954

Mailing AddressPo Box 1436Andover, OH 44003-1436 · (440) 858-7623

Phone(440) 997-2262

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 16, 2018

Last NPPES UpdateAugust 13, 20233 updates tracked since enumeration

NPPES CertifiedAugust 13, 2023

✔ NPI 1831679042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.023883

2420 LAKE AVE, Ashtabula, OH 44004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

Jason Blake Poole 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 ID3476807009

PECOS Enrollment IDI20181116001079

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

110 services103 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

106 services101 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Ashtabula County Medical Center

Acute Care Hospitals · Ashtabula, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360125

Location2420 Lake AvenueAshtabula, OH 44004 · Ashtabula County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44004 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.

61.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

45.69

Improvement Activities

Cost

70.24

Other Providers at the Same Location NPPES 20

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

HELEN K LEE CRNA

Nurse Anesthetist, Certified Registered