Active NPI
Stephanie Dawn Kovalchik, NP
- Acute Care Nurse Practitioner
- Seaman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.16591
- Practice address
- 230 Medical Center Dr
Seaman, OH 45679-8002 - Phone
- (513) 475-8521
- Fax
- (513) 475-7480
- NPI assigned
- Sep 27, 2007
- Last updated
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA16591NP | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.16591 | OH | Primary |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 5323P | KY |
Addresses
Primary practice location
230 Medical Center Dr
Seaman, OH 45679-8002
Mailing address
2830 Victory Pkwy
Cincinnati, OH 45206-1785
Phone (513) 245-3072
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.16591 | OH | MD | Acute Care Nurse Practitioner |
| COA16591NP | OH | MD | Acute Care Nurse Practitioner |
| 5323P | KY | MD | Acute Care Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Current | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
10506 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800
230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400
Interoperability endpoints
- slusher79737@direct.uchealth.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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1124215819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061785",
"telephone_number": "513-245-3072",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MEDICAL CENTER DR",
"city": "SEAMAN",
"state": "OH",
"postal_code": "456798002",
"telephone_number": "513-475-8521",
"fax_number": "513-475-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVALCHIK",
"first_name": "STEPHANIE",
"middle_name": "DAWN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA16591NP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.16591",
"primary": true
},
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "KY",
"license": "5323P",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.