Carli J Kovach Romero, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.17465 Issued in OH

Practice address

7345 State Route 3
Westerville, OH 43082-8654

Phone

(614) 794-5560

Fax

(614) 839-0274

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Healthcare LLC 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifecare Hospice Hospice, Wooster, OH, CCN 361544
• Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pure Healthcare LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dayton, OH
  • NPI 1619115045

  OH

  Medicare reassignment Care Compare group NPD
• Lifecare Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Wooster, OH
  • NPI 1922034701

  OH

  Medicare reassignment NPD
• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896

  Family, OH

  Medicare reassignment NPD
• Lifecare Hospice

  • Community Based Hospice Care Agency
  • Wooster, OH
  • NPI 1477540284
  NPD
• The Hospice of Dayton, Inc.

  • Community Based Hospice Care Agency
  • Dayton, OH
  • NPI 1346220142
  NPD (past)
• Drynachan LLC

  • Nurse Practitioner
  • Chantilly, VA
  • NPI 1891044657
  NPD (past)

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

• City of Wooster

  • General Acute Care Hospital
  • Wooster, OH
  • NPI 1437156247

  Hospital

  Care Compare affiliation
• Lifecare Hospice

  • Community Based Hospice Care Agency
  • Wooster, OH
  • NPI 1477540284

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1134501877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG COURT, SUITE 201",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "855-247-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 STATE ROUTE 3",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828654",
            "telephone_number": "614-794-5560",
            "fax_number": "614-839-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH ROMERO",
        "first_name": "CARLI",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139641",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Adam Korn, D.C.
• Sarah Korn
• Sallieu Koroma
• Alie Marie Kothman, MS, BCBA, COBA
• Elom U Kouko
• Ann R Koval, M.D.
• Colin Michael Kovinchick
• Bernadette Makula Kpaka
• Casey Kraft, M.D.
• Lauren Kramer

• All providers in Westerville, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.

Verify at the official NPI Registry.