Kulling Nji Abi
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kent, OH
NPI 1104237684 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1104237684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0029881 (OH)
- Practice address
- 901 Simon LN Apt 103
Kent, OH 44240-1742 - Phone
- (330) 990-8071
- NPI assigned
- May 18, 2014
- Reactivated
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rakesh Ranjan M.D. and Assoc., Inc
Practice addresses (Care Compare)
801 E Washington St
Suite 150
Medina, OH 44256-3336
Phone 21658767273402
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220214001851 | OH | Practitioner - Nurse Practitioner | 2860885969 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN134199M-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chariot Homehealth Care & Staffing Agency | Current | Accepting new patients | |
| Rakesh Ranjan MD & Associates, Inc. | Current |
Accepting new patients | |
| Rakesh Ranjan M.D. & Assoc., Inc. | Psychiatric/Mental Health | Current |
Accepting new patients |
| Chariot Homes LLC | Current | Accepting new patients |
Locations
12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646
801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069
801 E Washington St
Medina, OH 44256
Phone (330) 722-1069
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN134199M-IV | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0029881 | OH | Yes |
Addresses
Primary practice location
901 Simon LN Apt 103
Kent, OH 44240-1742
Mailing address
901 Simon LN Apt 103
Kent, OH 44240-1742
Phone (330) 990-8071
Other providers in Kent, OH
- 1St Class Providers LLC
- A Plus Family Foot and Ankle Center
- Leslie Abbuhl
- Anita Yvonne Adkins
- Brandi Adkins
- Aeratech Medical LLC
- Age Management & Internal Medicine Consultants Inc.
- Rahimah Ahmad
All providers in Kent, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.