Individual provider Active NPI

Betty A Gwinn-Hall, CNP

  • Women's Health Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1114076148
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP-05751 Issued in OH
Practice address
311 S 15TH St Ste 102
Coshocton, OH 43812-1874
Phone
(740) 622-7144
Fax
(740) 622-7166
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP-05751 OH Primary

Addresses

Primary practice location

311 S 15TH St Ste 102
Coshocton, OH 43812-1874

Mailing address

1200 S 16TH St
Coshocton, OH 43812-2754
Phone (740) 622-6154

Other identifiers 1

IdentifierTypeStateIssuer
STU1-0427-9584OtherOHNCC PROVIDER LICENSE

Other names 1

  • Betty A Sturtz Former name

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
I20071205000373 OH Practitioner - Nurse Practitioner 1456440080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

751 Forest Ave
Suite 101
Zanesville, OH 43701-2875
Phone (740) 454-5678

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-05751OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC Current Accepting new patients
Genesis Medical Group, LLC CurrentSince Feb 1, 2019 Accepting new patients
Genesis Medical Group, LLC CurrentSince Feb 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

311 S 15th St
Ste 102
Coshocton, OH 43812
Phone (740) 622-0332

23599 Airport Rd
Coshocton, OH 43812

800 Forest Ave
Zanesville, OH 43701
Phone (740) 454-0366

751 Forest Ave
Ste 101
Zanesville, OH 43701
Phone (740) 454-5678

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1114076148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 16TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122754",
            "telephone_number": "740-622-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 15TH ST STE 102",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121874",
            "telephone_number": "740-622-7144",
            "fax_number": "740-622-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN-HALL",
        "first_name": "BETTY",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "NP-05751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC PROVIDER LICENSE",
            "identifier": "STU1-0427-9584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "STURTZ",
            "middle_name": "A",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.