Individual provider Active NPI

Cynthia Mathias

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1053777946
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.17713-NP Issued in OH
Practice address
3550 Shaw Ave
Cincinnati, OH 45208-1445
Phone
(513) 979-2227
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.17713-NP OH Primary

Addresses

Primary practice location

3550 Shaw Ave
Cincinnati, OH 45208-1445

Mailing address

3870 Virginia Ave
Cincinnati, OH 45227-3431
Phone (513) 979-2227

Other names 1

  • Ms. Cynthia Grace Luna Former name

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
I20170118001660 OH Practitioner - Nurse Practitioner 7113209644 Reassigns benefits to 3 organizations

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
Medical Housecalls LLCGroup PAC ID 6709024268, 64 clinicians

Practice addresses (Care Compare)

7870 E Kemper Rd
Suite 150
Cincinnati, OH 45249-1675
Phone (513) 699-9090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17713-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Episcopal Retirement Homes, Inc. CurrentSince Oct 29, 2016 Accepting new patients
Medical Housecalls LLC CurrentSince Apr 15, 2024 Accepting new patients
Supportive Healthcare Skilled LLC CurrentSince Dec 8, 2025 Accepting new patients
Episcopal Retirement Homes, Inc. CurrentSince Oct 29, 2016 Accepting new patients

Locations

3870 Virginia Ave
Cincinnati, OH 45227

3550 Shaw Ave
Cincinnati, OH 45208
Phone (513) 871-2090

4001 Rosslyn Dr
Cincinnati, OH 45209
Phone (513) 272-0600

7870 E Kemper Rd
Ste 150
Cincinnati, OH 45249
Phone (513) 258-2053

776 Old State Route 74
Cincinnati, OH 45245
Phone (513) 399-6225

4850 Smith Rd
Ste 250
Norwood, OH 45212
Phone (513) 231-1060

4015 Executive Park Dr
Ste 406
Sharonville, OH 45241
Phone (513) 231-5753

Organizations & group practices 4

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1053777946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 VIRGINIA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273431",
            "telephone_number": "513-979-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 SHAW AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081445",
            "telephone_number": "513-979-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.17713-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "LUNA",
            "middle_name": "GRACE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.