Individual provider Active NPI

Valerie Mbacke, FNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1013387679
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA-17960-NP Issued in OH
Practice address
2170 Anderson Ferry Rd
Cincinnati, OH 45238-3328
Phone
(513) 922-4271
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA-17960-NP OH Primary

Addresses

Primary practice location

2170 Anderson Ferry Rd
Cincinnati, OH 45238-3328

Mailing address

11509 Raphael PL
Cincinnati, OH 45240-2015
Phone (937) 823-9658

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
I20160826001277 OH Practitioner - Nurse Practitioner 0749575918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1712 Race St
Cincinnati, OH 45202-6418
Phone (513) 381-2247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA-17960-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Community Health Services CurrentSince Jun 20, 2016 Accepting new patients
Christian Community Health Services Current Accepting new patients
Christian Community Health Services CurrentSince Jun 20, 2016 Accepting new patients
Christian Community Health Services Past Accepting new patients
Christian Community Health Services Past Accepting new patients

Locations

1712 Race St
Cincinnati, OH 45202
Phone (513) 381-2247

2170 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 381-2247

270 Southern Ave
Cincinnati, OH 45219
Phone (513) 363-5624

5 E Liberty St
Cincinnati, OH 45202
Phone (513) 241-1282

2859 Boudinot Ave
Ste 107
Cincinnati, OH 45238
Phone (513) 389-3105

10450 New Haven Rd
Ste 3
Harrison, OH 45030
Phone (513) 367-2222

Interoperability endpoints

  • Direct secure messaging: valerie.smith.1@15558.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1013387679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 RAPHAEL PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402015",
            "telephone_number": "937-823-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 ANDERSON FERRY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383328",
            "telephone_number": "513-922-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBACKE",
        "first_name": "VALERIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA-17960-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.