Individual provider Active NPI

Joni Christine Pethtel, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Cambridge, OH
National Provider Identifier
1124807235
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035011 Issued in OH
Practice address
65715 N 77 Dr
Cambridge, OH 43725-9239
Phone
(740) 581-0622
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0035011 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0035011 OH Primary

Addresses

Primary practice location

65715 N 77 Dr
Cambridge, OH 43725-9239

Mailing address

65715 N 77 Dr
Cambridge, OH 43725-9239
Phone (740) 581-0622

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
I20240501001868 OH Practitioner - Nurse Practitioner 0840630349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians

Practice addresses (Care Compare)

1330 Clark St
Cambridge, OH 43725-9614
Phone (740) 421-9530

716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000

859 N Main St
Malta, OH 43758-9007
Phone (740) 962-6111

915 Putnam Ave
Zanesville, OH 43701-5547
Phone (740) 487-9860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035011OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers Current Accepting new patients
Muskingum Valley Health Centers CurrentSince Nov 27, 2023 Accepting new patients
Muskingum Valley Health Centers CurrentSince Nov 27, 2023 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1124807235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65715 N 77 DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259239",
            "telephone_number": "740-581-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65715 N 77 DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259239",
            "telephone_number": "740-581-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETHTEL",
        "first_name": "JONI",
        "middle_name": "CHRISTINE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0035011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.