National Church Residences Medical Home
A Medicare group practice based in Columbus, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012178171), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7012178171
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 1
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120417000255 | OH | Part B Supplier - Clinic/Group Practice | 1154692838 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
National Church Residences Medical Home
- Adult Medicine Physician
- Columbus, OH
- NPI 1154692838
-
National Church Residences Medical Home
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Dublin, OH
- NPI 1356059372
Practice locations
- Columbus, OH8
- Dublin, OH1
- Waverly, OH1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (7).
-
Jonathan D Ballard, CNP
- Nurse Practitioner
- Waverly, OH
- NPI 1881150100
-
Marissa Marie Bechtel, CNP
- Nurse Practitioner
- Columbus, OH
- NPI 1891743449
-
Kawsu Conteh, CNP
- Nurse Practitioner
- Columbus, OH
- NPI 1124228226
-
Meghan Rae Mathews, MSW LISW
- Clinical Social Worker
- Columbus, OH
- NPI 1912893900
-
Courtney Elaine Moore, NP
- Nurse Practitioner
- Waverly, OH
- NPI 1497351993
-
Theresa Reyes, CNP
- Family Nurse Practitioner
- Columbus, OH
- NPI 1346689254
-
Andrea Lee Shields, CNP
- Family Nurse Practitioner
- Columbus, OH
- NPI 1205136207
-
Andrea Thompson, FNP-BC
- Family Nurse Practitioner
- Columbus, OH
- NPI 1114358231
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.