Individual provider Active NPI

Joni Abramczyk

  • Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1003365198
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN356576 Issued in OH
Practice address
1550 Yankee Park PL
Dayton, OH 45458-1868
Phone
(937) 439-4949
NPI assigned
Sep 29, 2016
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN356576 OH Primary

Addresses

Primary practice location

1550 Yankee Park PL
Dayton, OH 45458-1868

Mailing address

1238 Mitman Dr
Fairborn, OH 45324-5572

Other practice location 1

1238 Mitman Dr
Fairborn, OH 45324-5572
Phone (937) 367-7379

Other names 1

  • Joni Lykins Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511002619 OH Practitioner - Nurse Practitioner 5395022735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Evaluation and Management Center of Ohio IncGroup PAC ID 2365475480, 11 clinicians

Practice addresses (Care Compare)

1550 Yankee Park PL
Centerville, OH 45458-1868
Phone (937) 439-4949

1550 Yankee Park PL
Suite a
Centerville, OH 45458-1838
Phone (937) 439-4949

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN356576OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Evaluation & Management Center of Ohio, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept L2433
Columbus, OH 43260

1512 Yankee Park Pl
Dayton, OH 45458
Phone (937) 434-0099

1550 Yankee Park Pl
Ste A
Dayton, OH 45458
Phone (937) 439-4949

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

1550 Yankee Park Pl
Washington Township, OH 45458
Phone (937) 223-2911

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1003365198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 MITMAN DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453245572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581868",
            "telephone_number": "937-439-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1238 Mitman Dr",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "453245572",
            "country_code": "US",
            "telephone_number": "937-367-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAMCZYK",
        "first_name": "JONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN356576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONI",
            "last_name": "LYKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.