Individual provider Active NPI

Christopher Link, MSN, NP-C

  • Family Nurse Practitioner
  • Independence, OH
National Provider Identifier
1154682706
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.13173-NP Issued in OH
Practice address
6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Phone
(216) 643-2780
NPI assigned
May 30, 2012
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 COA.13173-NP OH Primary

Addresses

Primary practice location

6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366

Mailing address

2912 Springboro Rd
Suite 201
Moraine, OH 45439-1674
Phone (937) 297-8999

Other identifiers 3

IdentifierTypeStateIssuer
0069523MedicaidOH
12385024OtherOHCAQH
000000767727OtherOHBCBS OH

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
I20120622000461 OH Practitioner - Nurse Practitioner 2264697309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical GroupGroup PAC ID 2860386349, 29 clinicians

Practice addresses (Care Compare)

2320 Beechwood Dr
Germantown, OH 45327-9462
Phone (937) 895-4092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
COA.13173-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Group, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Providence Medical Group CurrentSince Jun 1, 2022 Accepting new patients
Providence Medical Group PastSince Jun 28, 2012 Accepting new patients

Locations

2320 Beechwood Dr
Germantown, OH 45327
Phone (937) 895-4092

2912 Springboro Rd
Ste 201
Moraine, OH 45439

2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996

2912 Springboro W
Ste 203
Moraine, OH 45439

Interoperability endpoints

  • Direct secure messaging: christopher.link.6@237.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/237/brand/1/csg/41/fhir/r4

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1154682706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO RD",
            "address_2": "SUITE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-297-8999",
            "fax_number": "937-297-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N",
            "address_2": "SUITE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366",
            "telephone_number": "216-643-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "CHRISTOPHER",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13173-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069523",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12385024",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OH",
            "identifier": "000000767727",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.