Individual provider Active NPI

Inna L Bair, CNP

  • Primary Care Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1063076412
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.023286 Issued in OH
Practice address
1989 Miamisburg Centerville Rd Ste 301
Centerville, OH 45459-3858
Phone
(937) 434-7353
Fax
(937) 438-6569
NPI assigned
Apr 30, 2019
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.023286 OH Primary

Addresses

Primary practice location

1989 Miamisburg Centerville Rd Ste 301
Centerville, OH 45459-3858

Mailing address

2912 Springboro W Ste 201
Moraine, OH 45439-1674
Phone (937) 297-8999

Other identifiers 3

IdentifierTypeStateIssuer
RN.381291OtherOHRN LICENSE
AGPCNP-BCOtherNP CERTIFICATION
APRN.CNP.023286OtherOHNP LICENSE

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
I20210817004033 OH Practitioner - Nurse Practitioner 1951706704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical GroupGroup PAC ID 2860386349, 29 clinicians

Practice addresses (Care Compare)

1989 Miamisburg Centerville Rd
Suite 301
Centerville, OH 45459-3858
Phone (937) 434-7353

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Group, Inc. CurrentSince Nov 27, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Aug 29, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Aug 29, 2022 Accepting new patients
Providence Medical Group CurrentSince Nov 27, 2022 Accepting new patients
CG Medical Associates Inc CurrentSince Dec 1, 2021 Accepting new patients

Locations

4403 W Franklin St
Ste D
Bellbrook, OH 45305
Phone (937) 848-9010

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

1516 Yankee Park Pl
Dayton, OH 45458
Phone (937) 438-1115

1989 Miamisburg Centerville Rd
Ste 301
Dayton, OH 45459
Phone (937) 434-7353

38 Woodcroft Trl
Dayton, OH 45430
Phone (937) 427-3333

2320 Beechwood Dr
Germantown, OH 45327
Phone (937) 895-4092

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

8701 Troy Pike
Ste 20
Huber Heights, OH 45424
Phone (937) 233-7146

2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996

70 Remick Blvd
Springboro, OH 45066
Phone (937) 885-0701

360 Glensprings Dr
Springdale, OH 45246
Phone (513) 671-5050

400 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 454-5296

4353 E State Route 73
Ste 120
Waynesville, OH 45068
Phone (513) 897-0085

Interoperability endpoints

  • Direct secure messaging: inna.bair.1@237.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1063076412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO W STE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-297-8999",
            "fax_number": "937-298-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD STE 301",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593858",
            "telephone_number": "937-434-7353",
            "fax_number": "937-438-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIR",
        "first_name": "INNA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.023286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN.381291",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATION",
            "identifier": "AGPCNP-BC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "APRN.CNP.023286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.