Individual provider Active NPI

Asha Jerubet Kosgey

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, OH
National Provider Identifier
1134565047
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.023446 Issued in OH
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

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1134565047MedicaidOH

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
I20181025000851 OH Practitioner - Nurse Practitioner 0547513384 Reassigns benefits to 3 organizations

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
Behavioral Healthcare Partners of Central Ohio IncGroup PAC ID 3971499385, 28 clinicians

Practice addresses (Care Compare)

65 Messimer Dr
Newark, OH 43055-1874
Phone (740) 522-8477

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN390424OHMDRegistered Nurse
PN.139061OHMDLicensed Practical Nurse
APRN.CNP.023446OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Partners of Central Ohio Inc CurrentSince Sep 23, 2018 Accepting new patients
Access Ohio, LLC CurrentSince Feb 8, 2020 Accepting new patients
Empowercare Solutions Group LLC Current Accepting new patients
Access Behavioral LLC CurrentSince Feb 8, 2020 Accepting new patients
Access Ohio, LLC CurrentSince Feb 8, 2020 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.