Rebecca L Schlanger, CNP
Individual provider Active NPI Adult Health Nurse Practitioner · Sugar Grove, OH
NPI 1013959337 · NPPES record last updated Apr 29, 2019
Key facts
- NPI
- 1013959337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- NP-07176 (OH)
- Practice address
- 6550 Borah Hill Rd
Sugar Grove, OH 43155-9732 - Phone
- (740) 777-8956
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050312000098 | OH | Practitioner - Nurse Practitioner | 1951356963 | Practice locations: Columbus, OH; Sugar Grove, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-07176 | OH | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP-07176 | OH | Yes |
Addresses
Primary practice location
6550 Borah Hill Rd
Sugar Grove, OH 43155-9732
Mailing address
6550 Borah Hill Rd
Sugar Grove, OH 43155-9732
Phone (740) 777-8956
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000378527 | Other | OH | ANTHEM BC/BS |
| 2360378 | Medicaid | OH | |
| P00188385 | Other | OH | RAILROAD MEDICARE |
Other providers in Sugar Grove, OH
- Keirstan Mirgon
- Constance Lynn Morgan
- Catherine Morris
- Outreach MRDD Services
- Cory Reid
- Kennedy Tolber
- Kelli Jean Williams
All providers in Sugar Grove, OH · Adult Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.