Active NPI
Roseanne Elizabeth McKay, CRNP
- Family Nurse Practitioner
- Wilmington, OH
National Provider Identifier
1154450138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-08548
- Practice address
- 140 W Main St
Wilmington, OH 45177-2239 - Phone
- (937) 481-2930
- Fax
- (937) 382-4717
- NPI assigned
- Mar 5, 2007
- Last updated
- Sep 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-08548 | OH | Primary |
Addresses
Primary practice location
140 W Main St
Wilmington, OH 45177-2239
Mailing address
424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2769384 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osama Al-Samkari M.D. Inc | Past | Accepting new patients | |
| Clinton Memorial Hospital of Wilmington Clinton County Ohio | Past | Accepting new patients | |
| Mvhe Inc | Past | Accepting new patients |
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.
-
dba CMH Regional Health System
- Rural Acute Care Hospital
- Wilmington, OH
- NPI 1427064641
-
- Clinic/Center
- Dayton, OH
- NPI 1083953103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1154450138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 WARDS CORNER RD STE 200",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451406966",
"telephone_number": "513-707-4041",
"fax_number": "513-576-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W MAIN ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772239",
"telephone_number": "937-481-2930",
"fax_number": "937-382-4717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "ROSEANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-08548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2769384",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.