Individual provider Active NPI

Gwendolyn Jaye Feldhaus, FNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1063860112
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022150 Issued in OH
Practice address
3333 Burnet Avenue
MLC 2008
Cincinnati, OH 45229
Phone
(513) 636-7966
Fax
(513) 636-7967
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022150 OH
Nurse Practitioner 363L00000X APRN.CNP.022150 OH Primary

Addresses

Primary practice location

3333 Burnet Avenue
MLC 2008
Cincinnati, OH 45229

Mailing address

3333 Burnet Avenue
MLC 2008
Cincinnati, OH 45229
Phone (513) 636-7966

Other practice location 1

10477 Harrison Ave
Harrison, OH 45030
Phone (513) 202-8283

Other practice location 2

10477 Harrison Ave
Harrison, OH 45030
Phone (513) 202-8283

Other practice location 3

20 Alpine Dr
Batesville, IN 47006-8477
Phone (812) 932-3224

Other practice location 4

6045 Bridgetown Rd
Cincinnati, OH 45248
Phone (513) 981-4105

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
I20180724002009 OH Practitioner - Nurse Practitioner 1557618451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

3333 Burnet Ave
Cincinnati, OH 45229-3039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022150OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Nurse Practitioner CurrentSince Apr 7, 2022 Accepting new patients
Accudoc Inc PC CurrentSince Aug 29, 2018 Accepting new patients
Accudoc Inc PC CurrentSince Aug 29, 2018 Accepting new patients
Nationwide Children'S Hospital PastSince May 1, 2022 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

20 Alpine Dr
Batesville, IN 47006
Phone (812) 932-3224

3333 Burnet Ave
#2008
Cincinnati, OH 45229
Phone (513) 636-7966

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

620 Ring Rd
Harrison, OH 45030
Phone (513) 202-9600

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1063860112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 2008",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-7966",
            "fax_number": "513-636-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 2008",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-7966",
            "fax_number": "513-636-7967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10477 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "OH",
            "postal_code": "45030",
            "country_code": "US",
            "telephone_number": "513-202-8283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10477 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "OH",
            "postal_code": "45030",
            "country_code": "US",
            "telephone_number": "513-202-8283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Alpine Dr",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470068477",
            "country_code": "US",
            "telephone_number": "812-932-3224",
            "fax_number": "812-932-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6045 Bridgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45248",
            "country_code": "US",
            "telephone_number": "513-981-4105",
            "fax_number": "513-347-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDHAUS",
        "first_name": "GWENDOLYN",
        "middle_name": "JAYE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022150",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.