Individual provider Active NPI

Natasha Nicole Neis, NP

  • Acute Care Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1033625553
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
021809 Issued in OH
Practice address
3000 Mack Rd Ste 100
Fairfield, OH 45014-5335
Phone
(513) 751-4222
Fax
(513) 874-3023
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 021809 OH Primary

Addresses

Primary practice location

3000 Mack Rd Ste 100
Fairfield, OH 45014-5335

Mailing address

3000 Mack Rd Ste 100
Fairfield, OH 45014-5335
Phone (513) 751-4222

Other practice location 1

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-1400

Other practice location 2

7495 State Rd Ste 200
Cincinnati, OH 45255-6400
Phone (513) 732-8377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220428000097 OH Practitioner - Nurse Practitioner 0345637054 Reassigns benefits to 2 organizations
I20231122000870 KY Practitioner - Nurse Practitioner 0345637054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021809OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Apr 1, 2022 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince May 30, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince May 30, 2023 Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

7495 State Rd
Ste 200
Cincinnati, OH 45255
Phone (513) 624-6500

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

3000 Mack Rd
Ste 100
Fairfield, OH 45014

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1033625553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MACK RD STE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-751-4222",
            "fax_number": "513-874-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD STE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-751-4222",
            "fax_number": "513-874-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7495 State Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452556400",
            "country_code": "US",
            "telephone_number": "513-732-8377",
            "fax_number": "513-732-2618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIS",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "021809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.