Active NPI
Asha Jerubet Kosgey
- Psychiatric/Mental Health Nurse Practitioner
- Newark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.023446
- Practice address
- 1445 W Main St
Newark, OH 43055-1989 - Phone
- (740) 788-0394
- NPI assigned
- May 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN390424 | OH | |
| Licensed Practical Nurse | 164W00000X | PN.139061 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.023446 | OH | Primary |
Addresses
Primary practice location
1445 W Main St
Newark, OH 43055-1989
Mailing address
1445 W Main St
Newark, OH 43055-1989
Phone (740) 788-0394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134565047 | Medicaid | OH |
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
65 Messimer Dr
Newark, OH 43055-1874
Phone (740) 522-8477
Hospital & facility affiliations
- Licking Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN390424 | OH | MD | Registered Nurse |
| PN.139061 | OH | MD | Licensed Practical Nurse |
| APRN.CNP.023446 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Healthcare Partners of Central Ohio Inc | Current | Accepting new patients | |
| Access Ohio, LLC | Current | Accepting new patients | |
| Empowercare Solutions Group LLC | Current | Accepting new patients | |
| Access Behavioral LLC | Current | Accepting new patients | |
| Access Ohio, LLC | Current | Accepting new patients |
Locations
8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345
6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700
2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579
2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579
1445 W Main St
Newark, OH 43055
Phone (740) 788-0239
65 Messimer Dr
Newark, OH 43055
Phone (740) 788-3400
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newark, OH
- NPI 1063479079
-
- Medical Specialty Clinic/Center
- Columbus, OH
- NPI 1437463213
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1689763740
-
- Community/Behavioral Health Agency
- Reynoldsburg, OH
- NPI 1922932078
-
- Substance Abuse Rehabilitation Facility
- Dayton, OH
- NPI 1194179150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1134565047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551989",
"telephone_number": "740-788-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551989",
"telephone_number": "740-788-0394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSGEY",
"first_name": "ASHA",
"middle_name": "JERUBET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-17",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN390424",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.139061",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.023446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134565047",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.