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Jennifer Haselman

Nurse Practitioner • Sylvania, OH

Active NPI 1255715231 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

5300 Harroun Rd, Suite 304
Sylvania, OH 435602182

Call 4198241100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5300 Harroun Rd
Suite 304

Sylvania, OH 435602182

Telephone 4198241100
Fax 4198241771
Organization at the Same NPPES Address or Phone
Romanoff Optical, Ltd. Facility NPI 1265446116

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Toledo College Of Medicine

Graduation Year

2015

Medicare-allowed amount

About $17,809 in 2018

The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.

Paid by Medicare

About $11,746 in 2018

The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.

30-day fills

134 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$874 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.

Open Payments general payments, program year 2025

All general payments: $163.70 across 3 records.

By nature of payment

  • Food and Beverage: $163.70 across 3 records.

Reporting-company totals

  • Alkermes, Inc.: $124.46 across 1 record.
  • Indivior Inc.: $23.75 across 1 record.
  • Eli Lilly and Company: $15.49 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jennifer Haselman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jennifer Haselman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sylvania and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Jennifer Haselman are from 2018.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Jennifer Haselman are from 2019.

36 active clinicians are listed under Nurse Practitioner with a practice address in Sylvania, OH (4,257 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sylvania

27.8% of these 36 clinicians have the CMS telehealth indicator.

77.8% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $163.70.

Manufacturer Payment Nature Product Type Amount ($)
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $124.46
Indivior Inc.
Food and Beverage
In-kind items and services
SUBLOCADE General $23.75
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $15.49

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2018.

CMS Part B · Data Year 2018
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
138 81 $128.00 $86.40
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
55 44 $92.00 $58.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
25 25 $165.00 $95.02
G0008 Administration of influenza virus vaccine
15 15 $33.00 $18.01

Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 17 1,282 $285.62 14
Omeprazole Omeprazole 16 1,168 $292.88 13
Levothyroxine Sodium Levothyroxine Sodium 13 880 $219.19 11
Lisinopril Lisinopril 11 688 $76.60 —

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OH COA17566NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0140351 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20250805000714

Enrollment State Jurisdiction

NC

PECOS Control ID

8325353998

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1902802804

Doctor of Medicine (M.D.)

NPI 1184620015

Doctor of Medicine (M.D.)

Dr. Sanjiv Josh , MD

Family Medicine

NPI 1942209614

Doctor of Medicine (M.D.)

Dr. Michael Kennis , MD

Student in an Organized Health Care Education/Training Program

NPI 1215291083

Doctor of Medicine (M.D.)

Jaclyn Lachmiller

Nurse Practitioner - Family

NPI 1639553373
Dr. Farzana Tausif , MD

Family Medicine - Adult Medicine

NPI 1174529861

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
✅
NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2017

Registered at 5300 HARROUN RD, SUITE 304, SYLVANIA, OH 435602182 (Tel: 4198241100)

📍
Updated Business Mailing Address October 30, 2017

Registered at 5300 HARROUN RD, SUITE 304, SYLVANIA, OH 435602182 (Tel: 4198241100)

👤
Provider Name / Credentials Updated October 30, 2017

Recorded as JENNIFER HASELMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Nurse Practitioner (license number reported to NPPES: OH COA17566NP)

✅
NPI Profile Active July 20, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 20, 2015

Registered at 5300 HARROUN RD, SUITE 304, SYLVANIA, OH 435602182 (Tel: 4198241100)

📍
Business Mailing Address (Initial Record) July 20, 2015

Registered at 5300 HARROUN RD, SUITE 304, SYLVANIA, OH 435602182 (Tel: 4198241100)

👤
Provider Name / Credentials (Initial Record) July 20, 2015

Recorded as JENNIFER HASELMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2015

Nurse Practitioner (license number reported to NPPES: OH COA17566NP)

🟢
Initial NPI Registration & Enumeration July 20, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255715231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2015
Last Update: October 30, 2017
Sole Proprietor: No

Other Nurse Practitioners in Sylvania

All Nurse Practitioners in Sylvania

Mailing Address

5300 Harroun Rd, Suite 304

Sylvania, OH 435602182

Phone: 4198241100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.