Active NPI
Marina Eller, CNP
- Family Nurse Practitioner
- Canal Winchester, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA 18253 NP
- Practice address
- 3620 Gender Rd
Canal Winchester, OH 43110-8679 - Phone
- (148) 293-0156
- NPI assigned
- Dec 9, 2015
- Last updated
- Jul 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA 18253 NP | OH | Primary |
Addresses
Primary practice location
3620 Gender Rd
Canal Winchester, OH 43110-8679
Mailing address
8910 Broad St SW
Pataskala, OH 43062-8502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 Cross Creeks Blvd
Pickerington, OH 43147-8189
Phone (614) 829-3015
3620 Gender Rd
Canal Winchester, OH 43110-8679
Phone (614) 202-0310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 18253 NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incare Health Solutions LLC | Current | Accepting new patients | |
| Incare Health Solutions, LLC | Family | Current | Accepting new patients |
| Superior Urgent Care, LLC. | Current | Accepting new patients | |
| Superior Urgent Care, LLC. | Current | Accepting new patients |
Locations
3620 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 202-0310
175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433
1600 Cross Creeks Blvd
Pickerington, OH 43147
Phone (614) 626-0157
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
Interoperability endpoints
- https://api.platform.athenahealth.com/25285/brand/1/csg/1/fhir/r4
- marina.eller.1@25285.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Canal Winchester, OH
- NPI 1790269751
-
dba Walk in Urgent Care
- Internal Medicine Physician
- Marion, OH
- NPI 1235422403
-
dba Walk in Clinic
- Primary Care Nurse Practitioner
- Ontario, OH
- NPI 1639621824
Family
-
- Primary Care Nurse Practitioner
- Canal Winchester, OH
- NPI 1679269138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562198400000",
"number": "1003281551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 BROAD ST SW",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430628502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 GENDER RD",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431108679",
"telephone_number": "148-293-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "MARINA",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2019-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA 18253 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.