Medicare Enrollment Information Individual Name: Jeny John NP Individual Specialty: NURSE PRACTITIONER Individual National Provider Identifier (NPI): 1073019493 Individual Provider Transaction Access Number (PTAN): 1R3191 Group Legal Business Name (LBN): COLUMBUS URGENT CARE PA Group NPI: 1215330501 Group PTAN: 399951 Reassignment Effective Date: June 01, 2021 Changed Information: N/A