Individual provider Active NPI

Mark Tuvelle

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1154945368
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027445 Issued in OH
Practice address
4040 E Broad St
Columbus, OH 43213-1156
Phone
(614) 350-1970
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN.395783 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027445 OH Primary

Addresses

Primary practice location

4040 E Broad St
Columbus, OH 43213-1156

Mailing address

6400 E Broad St FL 4
Columbus, OH 43213-2086
Phone (614) 655-3345

Other practice location 1

3307 Ellister Dr
Delaware, OH 43015-4168
Phone (380) 213-0514

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
I20200914000934 OH Practitioner - Nurse Practitioner 4486072139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.395783OHMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Access Ohio, LLC CurrentSince Aug 31, 2020 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Mar 25, 2024 Accepting new patients
Nevada Internal Medicine Ctr-Burt MD LTD CurrentSince Mar 18, 2021 Accepting new patients
Access Behavioral LLC CurrentSince Aug 31, 2020 Accepting new patients
Access Ohio, LLC CurrentSince Aug 31, 2020 Accepting new patients

Locations

2605 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 320-7100

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

4725 Parkwick Dr
Ste 109
Columbus, OH 43228
Phone (614) 985-3112

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

6400 E Broad St
Fl 4
Columbus, OH 43213
Phone (614) 655-3345

2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579

2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579

194 Elm St
London, OH 43140
Phone (740) 845-5500

Organizations & group practices 5

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1154945368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132086",
            "telephone_number": "614-655-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131156",
            "telephone_number": "614-350-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Ellister Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430154168",
            "country_code": "US",
            "telephone_number": "380-213-0514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUVELLE",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "RN.395783",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.