Individual provider Active NPI

Mary Friemoth, NP,CNS

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1043435571
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NS03266 NP07390 Issued in OH
Practice address
130 Wellington PL
Cincinnati, OH 45219-1710
Phone
(513) 357-4602
Fax
(513) 621-2350
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 NS03266 NP07390 OH Primary

Addresses

Primary practice location

130 Wellington PL
Cincinnati, OH 45219-1710

Mailing address

130 Wellington PL
Cincinnati, OH 45219-1710
Phone (513) 357-4602

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
I20140805002824 OH Practitioner - Nurse Practitioner 5890912422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Resource Center of Cincinnati IncGroup PAC ID 2365669959, 6 clinicians

Practice addresses (Care Compare)

2347 Vine St
Cincinnati, OH 45219-1745
Phone (513) 357-4602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NS03266 NP07390OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ikron Corporation CurrentSince Aug 6, 2019 Accepting new patients
Health Resource Center of Cincinnati, Inc. CurrentSince Jun 2, 2014 Accepting new patients
Health Resource Center of Cincinnati, Inc. CurrentSince Jun 2, 2014 Accepting new patients

Locations

2347 Vine St
Fl 2
Cincinnati, OH 45219
Phone (513) 357-4602

2347 Vine St
Cincinnati, OH 45219
Phone (513) 357-4602

2347 Vine St
Fl Second
Cincinnati, OH 45219
Phone (513) 357-4602

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1043435571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WELLINGTON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191710",
            "telephone_number": "513-357-4602",
            "fax_number": "513-621-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WELLINGTON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191710",
            "telephone_number": "513-357-4602",
            "fax_number": "513-621-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEMOTH",
        "first_name": "MARY",
        "credential": "NP,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NS03266 NP07390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.