Individual provider Active NPI

Shawn Christopher Koser, CNP

  • Family Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1154025773
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033454 Issued in OH
Practice address
641 Hill Rd N Ste a
Pickerington, OH 43147-9346
Phone
(614) 627-1380
NPI assigned
Mar 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0033454 OH Primary

Addresses

Primary practice location

641 Hill Rd N Ste a
Pickerington, OH 43147-9346

Mailing address

641 Hill Rd N Ste a
Pickerington, OH 43147-9346

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
I20230601001146 OH Practitioner - Nurse Practitioner 7911364245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

641 Hill Rd N
Suite a
Pickerington, OH 43147-9346
Phone (614) 627-1380

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033454OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc CurrentSince May 8, 2023 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince May 8, 2023 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

641 Hill Rd N
Ste A
Pickerington, OH 43147
Phone (614) 627-1380

641 Hill Rd N
Pickerington, OH 43147
Phone (614) 833-6001

Interoperability endpoints

  • Direct secure messaging: skoser2669159@direct.trinity-health.org

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.

Hospital & facility affiliations 3

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1154025773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 HILL RD N STE A",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 HILL RD N STE A",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479346",
            "telephone_number": "614-627-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSER",
        "first_name": "SHAWN",
        "middle_name": "CHRISTOPHER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.