Individual provider Active NPI

Stephanie Visjager, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1154839322
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0030186 Issued in OH
Practice address
11085 Montgomery Rd Ste 250
Cincinnati, OH 45249-2395
Phone
(513) 547-2861
Fax
(513) 880-0595
NPI assigned
Jan 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.2775524 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0030186 OH Primary

Addresses

Primary practice location

11085 Montgomery Rd Ste 250
Cincinnati, OH 45249-2395

Mailing address

2617 Devils Backbone Rd
Cincinnati, OH 45233-4422
Phone (513) 467-0713

Other practice location 1

6881 Beechmont Ave
Cincinnati, OH 45230-2907
Phone (513) 233-4858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220310002771 OH Practitioner - Nurse Practitioner 8224423124 Reassigns benefits to 1 organization
I20240816001445 IN Practitioner - Nurse Practitioner 8224423124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Anxiety Center LLCGroup PAC ID 2668915059, 11 clinicians

Practice addresses (Care Compare)

11085 Montgomery Rd
Suite 250
Cincinnati, OH 45249-2395
Phone (937) 884-1087

7340 Crossing PL
Fishers, IN 46038-2708
Phone (463) 219-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.2775524OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Anxiety Center LLC CurrentSince May 24, 2024 Accepting new patients
The Anxiety Center LLC CurrentSince May 24, 2024 Accepting new patients

Locations

7340 Crossing Pl
Ste 100
Fishers, IN 46038
Phone (317) 938-3327

7340 Crossing Pl
Fishers, IN 46038
Phone (463) 219-1202

11085 Montgomery Rd
Ste 250
Montgomery, OH 45249
Phone (513) 547-2861

2331 Far Hills Ave
Ste 300
Oakwood, OH 45419
Phone (937) 884-1087

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1154839322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 DEVILS BACKBONE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452334422",
            "telephone_number": "513-467-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11085 MONTGOMERY RD STE 250",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492395",
            "telephone_number": "513-547-2861",
            "fax_number": "513-880-0595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6881 Beechmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452302907",
            "country_code": "US",
            "telephone_number": "513-233-4858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISJAGER",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.2775524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.