Individual provider Active NPI

Xoliswa N Cross, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1043880313
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0029146 Issued in OH
Practice address
7250 Poe Ave Ste 220
Dayton, OH 45414-2687
Phone
(937) 912-3305
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0029146 OH Primary

Addresses

Primary practice location

7250 Poe Ave Ste 220
Dayton, OH 45414-2687

Mailing address

2820 Bellsburg Dr
Dayton, OH 45459-3536
Phone (937) 361-7101

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
I20210913001574 OH Practitioner - Nurse Practitioner 0042616344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Viaquest Psychiatric and Behavioral Solutions LLCGroup PAC ID 1153358486, 118 clinicians

Practice addresses (Care Compare)

525 Metro PL N
Suite 300
Dublin, OH 43017-5320
Phone (855) 289-1722

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029146OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Jan 3, 2022 Accepting new patients
Viaquest Psychiatric & Behavioral Solutions LLC CurrentSince Oct 17, 2024 Accepting new patients
Viaquest Psychiatric & Behavioral Solutions LLC CurrentSince Oct 17, 2024 Accepting new patients

Locations

7250 Poe Ave
Ste 220
Dayton, OH 45414
Phone (937) 245-4804

6601 Centerville Business Pkwy
Ste 310
Dayton, OH 45459
Phone (937) 637-3765

6455 Post Rd
#B
Dublin, OH 43016
Phone (614) 296-9790

525 Metro Pl N
Ste 300
Dublin, OH 43017
Phone (614) 336-9600

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1043880313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 BELLSBURG DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593536",
            "telephone_number": "937-361-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 POE AVE STE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142687",
            "telephone_number": "937-912-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "XOLISWA",
        "middle_name": "N",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.