Individual provider Active NPI

Juan Angel Cuellar, CNP

  • Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1083172738
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0039612 Issued in OH
Practice address
4449 State Route 159
Chillicothe, OH 45601-8620
Phone
(740) 775-1260
NPI assigned
Mar 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 APRN.CNP.0039612 OH Primary

Addresses

Primary practice location

4449 State Route 159
Chillicothe, OH 45601-8620

Mailing address

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 775-1260

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
I20250807002875 OH Practitioner - Nurse Practitioner 2567858772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 772-7909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0039612OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto Paint Valley Mental Health Center CurrentSince Jun 25, 2025 Accepting new patients
Scioto Paint Valley Mental Health Center CurrentSince Jun 25, 2025 Accepting new patients
Scioto Paint Valley MH Ctr Past Accepting new patients

Locations

4449 State Route 159
Chillicothe, OH 45601
Phone (740) 772-7892

400 Chamber Dr
Chillicothe, OH 45601
Phone (740) 642-2401

312 E 2nd St
Chillicothe, OH 45601
Phone (740) 772-7909

319 Logan St
Circleville, OH 43113
Phone (740) 474-8874

108 Erin Ct
Hillsboro, OH 45133
Phone (740) 772-7909

102 Dawn Ln
Waverly, OH 45690
Phone (740) 772-7909

1300 E Paint St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-6935

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1083172738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "JUAN",
        "middle_name": "ANGEL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0039612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.