Individual provider Active NPI

Adwoa Addo, APRN

  • Family Nurse Practitioner
  • Blue Ash, OH
National Provider Identifier
1093311128
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028089 Issued in OH
Practice address
4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424
Phone
(800) 989-7337
NPI assigned
Dec 4, 2020
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0028089 OH Primary

Addresses

Primary practice location

4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424

Mailing address

5726 Sugar Maple Run
Liberty TWP, OH 45011-5957
Phone (513) 307-6596

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.0028089OtherOHOHIO BOARD OF NURSING

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
I20211027001435 OH Practitioner - Nurse Practitioner 3577951326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

11390 Montgomery Rd
Cincinnati, OH 45249-2313
Phone (513) 618-4042

1474 Main St
Hamilton, OH 45013-1074
Phone (513) 896-8967

199 Graceland Blvd
Columbus, OH 43214-1529
Phone (614) 410-2814

300 S Locust St
Oxford, OH 45056-2125
Phone (513) 273-2115

3760 Paxton Ave
Cincinnati, OH 45209-2306
Phone (513) 488-8077

5400 Cornerstone N Blvd
Centerville, OH 45440-2273
Phone (937) 528-7070

7300 Yankee Rd
Liberty Township, OH 45044-9168
Phone (513) 342-3281

8000 Princeton Glendale Rd
West Chester, OH 45069-5802
Phone (513) 682-8045

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028089OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Age Home Healthcare CurrentSince Jan 2, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Nov 28, 2023 Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

Interoperability endpoints

  • Direct secure messaging: adwoa.addo@krogerhealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1093311128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 SUGAR MAPLE RUN",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450115957",
            "telephone_number": "513-307-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR STE 200",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412424",
            "telephone_number": "800-989-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDO",
        "first_name": "ADWOA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRN.CNP.0028089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.