BRIAN MARTIN JONES AGACNP-BC, APRN-CNP
NPI 1982218848
Nurse Practitioner - Acute Care in Findlay, OH

Active since September 08, 2020PECOS EnrolledAccepts Medicare Assignment
78.93/100
CMS Quality Rating
3949 N MAIN ST, FINDLAY, OH 45840(419) 423-3888(419) 423-4475 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2020, Sep 8, 2020 (2 updates tracked since 2020).

About Brian Martin Jones Agacnp-bc, Aprn-cnp NPPES

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

BRIAN MARTIN JONES AGACNP-BC, APRN-CNP (NPI 1982218848) is an individual acute care provider in Findlay, Ohio, licensed in Ohio (APRN.CNP.0027792) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and maintains a secondary practice location in Ada.

NPPES Registry Identity

NPI1982218848
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBRIAN MARTIN JONESCredential: AGACNP-BC, APRN-CNP
Location Address3949 N MAIN STFindlay, OH 45840-4200
Mailing Address3949 N Main StFindlay, OH 45840-4200 · (419) 423-3888 · Fax (419) 423-4475
Fax(419) 423-4475
Sole ProprietorNo
Medical School CMSOhio Medical UniversityGraduated 2020
Enumeration DateSeptember 8, 2020
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1982218848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0027792
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.397473 (OH)
3949 N MAIN ST, Findlay, OH 45840

Secondary Practice Location 1

Location 1148 County Road 65Ada, OH 45810-9762 · Phone (330) 703-0153

Accepted 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

Brian Martin Jones Agacnp-bc, Aprn-cnp 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 ID4981014149
PECOS Enrollment IDI20201029002714
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 Brian Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1900 SOUTH MAIN STREET
Findlay, OH 45840
  • Reassigned Medicare billing, Ohio enrollment
  • 76 clinicians in this Medicare group
Family Medicine
1900 S MAIN ST
Findlay, OH 45840
  • Reassigned Medicare billing, Ohio enrollment
  • 133 clinicians in this Medicare group

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
368 services245 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
170 services147 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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.

78.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.78
Promoting Interoperability83
Improvement Activities40
Cost68.16

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.

Nurse Practitioner (Family)
3949 N MAIN ST
FINDLAY, OH 45840
Nurse Practitioner
3949 N MAIN ST
FINDLAY, OH 45840
Nurse Practitioner (Family)
3949 N MAIN ST
FINDLAY, OH 45840
Nurse Practitioner (Family)
3949 N MAIN ST
FINDLAY, OH 45840
Nurse Practitioner (Family)
3949 N MAIN ST
FINDLAY, OH 45840
General Practice
3949 N MAIN ST
FINDLAY, OH 45840
Nurse Practitioner (Family)
3949 N MAIN ST
FINDLAY, OH 45840
Clinic/Center (Occupational Medicine)
3949 N MAIN ST, SUITE D
FINDLAY, OH 45840

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 Brian Jones's NPI number?

The NPI number for Brian Jones is 1982218848. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Brian Jones located?

Brian Jones practices at 3949 N Main St, Findlay, OH 45840. The listed phone number is (419) 423-3888.

What is Brian Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Brian Jones enrolled in Medicare?

Yes. Brian Jones 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 Brian Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Jones reassigns Medicare benefits to 2 organizations: Blanchard Valley Medical Practice LLC (Findlay, OH) and Blanchard Valley Regional Health Center (Findlay, 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 Brian Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Brian Jones 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 Brian Jones affiliated with any hospitals?

According to CMS data, Brian Jones is affiliated with Blanchard Valley Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Brian Jones was last updated on October 16, 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.