NPIMap

Individual provider Active NPI

Stefanie Cain, APRN

  • Family Nurse Practitioner
  • Moraine, OH
National Provider Identifier
1104587914
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP0030413 Issued in OH
Practice address
3033 Kettering Blvd Ste 100
Moraine, OH 45439-1948
Phone
(937) 293-2133
Fax
(855) 252-2435
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 24

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.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PC 181 clinicians

Practice addresses (Care Compare)

Moraine, OH 45439
Phone (937) 293-2133

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Americare Home Health Agency Home health agency, Miamisburg, OH, CCN 368162
  • Horizon Home Healthcare, LLC Home health agency, Vandalia, OH, CCN 368046
  • Wilson Home Health Care Home health agency, Sidney, OH, CCN 367238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220113002760 OH Practitioner - Nurse Practitioner 4981096344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRNCNP0030413OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Feb 1, 2022 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Feb 1, 2022 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

Interoperability endpoints

  • Direct secure messaging: stefanie.cain.1@32913.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRNCNP0030413 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

3033 Kettering Blvd Ste 100
Moraine, OH 45439-1948

Mailing address

500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Phone (248) 434-6169

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2022.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1104587914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844135",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD STE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391948",
            "telephone_number": "937-293-2133",
            "fax_number": "855-252-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "STEFANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP0030413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

Verify at the official NPI Registry.