Individual provider Active NPI

Christina Marie Alcorn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1124809314
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0035149 Issued in OH
Practice address
6730 Roosevelt Ave Ste 201
Middletown, OH 45005-5730
Phone
(513) 279-8035
Fax
(513) 318-7386
NPI assigned
Oct 12, 2023
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0035149 OH Primary

Addresses

Primary practice location

6730 Roosevelt Ave Ste 201
Middletown, OH 45005-5730

Mailing address

7383 Kingswood Dr
West Chester, OH 45069-2646
Phone (937) 825-0798

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
I20250307000716 OH Practitioner - Nurse Practitioner 4981125846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Woodstream WellnessGroup PAC ID 8527462506, 55 clinicians
Owlbridge WellnessGroup PAC ID 9335564665, 5 clinicians

Practice addresses (Care Compare)

1911 Old Fairfield Rd
Suite 310
Beavercreek, OH 45432-2774
Phone (937) 759-0545

6730 Roosevelt Ave
Suite 201
Middletown, OH 45005-5730
Phone (513) 279-8035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035149OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstream Wellness Psychiatric/Mental Health CurrentSince Aug 17, 2025 Accepting new patients
Owlbridge Wellness Psychiatric/Mental Health CurrentSince Feb 26, 2025 Accepting new patients
WS Wellness LLC Psychiatric/Mental Health PastSince Aug 1, 2023 Accepting new patients

Locations

1911 Old Fairfield Rd
Ste 310
Beavercreek, OH 45432
Phone (937) 759-0545

9049 Springboro Pike
Miamisburg, OH 45342
Phone (937) 759-0545

6730 Roosevelt Ave
Ste 201
Middletown, OH 45005
Phone (513) 279-8035

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1124809314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7383 KINGSWOOD DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692646",
            "telephone_number": "937-825-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 201",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055730",
            "telephone_number": "513-279-8035",
            "fax_number": "513-318-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.