Individual provider Active NPI

Cristy Rene Payne, APRN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1124414461
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17014-NP Issued in OH
Practice address
5730 Colerain Ave
Cincinnati, OH 45239-6714
Phone
(513) 363-3765
Fax
(513) 363-3741
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 COA.17014-NP OH Primary

Addresses

Primary practice location

5730 Colerain Ave
Cincinnati, OH 45239-6714

Mailing address

5730 Colerain Ave
Cincinnati, OH 45239-6714
Phone (513) 363-3765

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
I20231006000570 OH Practitioner - Nurse Practitioner 8628398591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17014-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati CurrentSince Aug 1, 2023 Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2023 Accepting new patients
City of Cincinnati Past Accepting new patients

Locations

5730 Colerain Ave
Cincinnati, OH 45239
Phone (513) 363-3705

3555 Kellogg Ave
Cincinnati, OH 45226
Phone (513) 363-3421

2030 Fairfax Ave
Cincinnati, OH 45207
Phone (513) 363-7800

2520 Madison Rd
Cincinnati, OH 45208
Phone (513) 363-9110

5641 Belmont Ave
Cincinnati, OH 45224
Phone (513) 363-6700

2121 Hatmaker St
Cincinnati, OH 45204
Phone (513) 363-0000

420 Ezzard Charles Dr
Cincinnati, OH 45214
Phone (513) 363-8200

5051 Duck Creek Rd
Cincinnati, OH 45227
Phone (513) 527-7300

5051 Anderson Pl
Cincinnati, OH 45227
Phone (513) 363-2900

3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289

Interoperability endpoints

  • Direct secure messaging: cpayne124696@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1124414461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396714",
            "telephone_number": "513-363-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396714",
            "telephone_number": "513-363-3765",
            "fax_number": "513-363-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CRISTY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17014-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.