Individual provider Active NPI

Hannah Elizabeth Cackovic, APRN-CNM

  • Advanced Practice Midwife
  • Worthington, OH
National Provider Identifier
1144803511
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.0019469 Issued in OH
Practice address
160 W Wilson Bridge Rd Ste 2101
Worthington, OH 43085-2688
Phone
(614) 293-3069
Fax
(614) 685-0256
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.0019469 OH Primary

Addresses

Primary practice location

160 W Wilson Bridge Rd Ste 2101
Worthington, OH 43085-2688

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210804004328 PA Practitioner - Certified Nurse Midwife (CNM) 0345644811 Reassigns benefits to 1 organization
I20230512002151 OH Practitioner - Certified Nurse Midwife (CNM) 0345644811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu GYN and OB Consultants LLCGroup PAC ID 5092613257, 72 clinicians

Practice addresses (Care Compare)

920 N Hamilton Rd
Suite 200
Gahanna, OH 43230-1757
Phone (614) 293-3069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Women'S Healthcare, PC CurrentSince Jul 19, 2021 Accepting new patients
Osu GYN & OB Consultants LLC CurrentSince Jan 17, 2023 Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

920 N Hamilton Rd
Ste 200
Gahanna, OH 43230
Phone (614) 366-3075

3651 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 293-3873

810 Sir Thomas Ct
#201
Harrisburg, PA 17109
Phone (717) 236-5023

1 Lemoyne Sq
Ste 201
Lemoyne, PA 17043
Phone (717) 737-4511

Interoperability endpoints

  • Direct secure messaging: hcackovic248933@direct.osumc.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1144803511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-3069",
            "fax_number": "614-685-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W WILSON BRIDGE RD STE 2101",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852688",
            "telephone_number": "614-293-3069",
            "fax_number": "614-685-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACKOVIC",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-04-04",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.