Individual provider Active NPI

Patti A Ellison

  • Nurse Practitioner
  • Milford, OH
National Provider Identifier
1144260035
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.04386 Issued in OH
Practice address
25 Whitney Dr Ste 122
Milford, OH 45150-8400
Phone
(513) 941-4999
Fax
(513) 694-0168
NPI assigned
Jun 8, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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.04386 OH Primary
Registered Nurse 163W00000X RN.166532 OH

Addresses

Primary practice location

25 Whitney Dr Ste 122
Milford, OH 45150-8400

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999

Other practice location 1

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999

Other practice location 2

680 Northland Blvd
Cincinnati, OH 45240-3248
Phone (513) 941-4999

Other practice location 3

160 N Breiel Blvd
Middletown, OH 45042-3806
Phone (513) 941-4999

Other practice location 4

100 Highview Blvd
Columbus, OH 43207-6023
Phone (513) 941-4999

Other practice location 5

1421 Parker Ct
Springfield, OH 45504-2855
Phone (513) 941-4999

Other practice location 6

1130 Garbry Rd
Piqua, OH 45356-8217
Phone (513) 941-4999

Other practice location 7

247 Cic Blvd
West Union, OH 45693-7512
Phone (513) 941-4999

Other practice location 8

1907 11th St
Portsmouth, OH 45662-4531
Phone (513) 941-4999

Other practice location 9

1435 Cincinnati St
Dayton, OH 45417-4614
Phone (513) 941-4999

Other practice location 10

1718 Central Pkwy
Cincinnati, OH 45214-2355
Phone (513) 941-4999

Other practice location 11

7075 Industrial Rd Ste A
Florence, KY 41042-3053
Phone (513) 941-4999

Other identifiers 1

IdentifierTypeStateIssuer
2200577MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.166532OHMDRegistered Nurse
APRN.CNP.04386OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Treatment Center, LLC CurrentSince Jan 26, 2022 Accepting new patients
Sunrise Treatment Center, LLC CurrentSince Jan 26, 2022 Accepting new patients
Sunrise Treatment Center, LLC Current Accepting new patients

Locations

7075 Industrial Rd
Ste A
Florence, KY 41042
Phone 51394149991071

1718 Central Pkwy
Cincinnati, OH 45214
Phone (513) 467-2825

6460 Harrison Ave
Cincinnati, OH 45247
Phone (513) 619-6885

6460 Harrison Ave
Ste 200
Cincinnati, OH 45247
Phone (513) 467-2825

680 Northland Blvd
Cincinnati, OH 45240
Phone (513) 959-5344

100 Highview Blvd
Columbus, OH 43207
Phone (614) 492-0414

1435 Cincinnati St
Dayton, OH 45417
Phone (937) 449-0800

160 N Breiel Blvd
Middletown, OH 45042
Phone (513) 467-2825

25 Whitney Dr
Ste 122
Milford, OH 45150
Phone (513) 713-7241

1130 Garbry Rd
Piqua, OH 45356

1907 11th St
Portsmouth, OH 45662
Phone (740) 529-7356

1421 Parker Ct
Springfield, OH 45504
Phone (513) 467-2825

247 Cic Blvd
West Union, OH 45693
Phone (937) 660-3400

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1144260035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477958",
            "telephone_number": "513-941-4999",
            "fax_number": "513-694-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WHITNEY DR STE 122",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451508400",
            "telephone_number": "513-941-4999",
            "fax_number": "513-694-0168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6460 Harrison Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477958",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Northland Blvd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452403248",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 N Breiel Blvd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450423806",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Highview Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432076023",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Parker Ct",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042855",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Garbry Rd",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453568217",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Cic Blvd",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "OH",
            "postal_code": "456937512",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 11th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624531",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 Cincinnati St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454174614",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 Central Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452142355",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7075 Industrial Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410423053",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "PATTI",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.04386",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.166532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200577",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.