Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Blake Poole

Individual provider Family Nurse Practitioner · NPI 1831679042

Jason Blake Poole is a Nurse Practitioner in Ashtabula, Ohio. Qualified in 2018, 8 years ago. Practices with Emergency Professional Services, Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone: (440) 997-2262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.023883 (OH)

Record details

NPI number1831679042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 13, 2023
Certification dateAugust 13, 2023
Mailing addressPo Box 1436, Andover, OH 44003-1436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Emergency Professional Services, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ashtabula