Individual provider Active NPI

Angela Jene Primovic-Fisher, APRN, CNP

  • Family Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1164026258
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027997 Issued in OH
Practice address
440 Browns LN
Coshocton, OH 43812-2044
Phone
(888) 454-5157
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Primary Care Physicians, LLC 45 clinicians

Practice addresses (Care Compare)

712 China St
Crooksville, OH 43731-1124
Phone (740) 982-6872

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

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
I20210727003389 OH Practitioner - Nurse Practitioner 2567865660 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince Jul 26, 2021 Accepting new patients
Muskingum Valley Health Centers Current Accepting new patients
Genesis Primary Care Physicians LLC CurrentSince Jun 18, 2024 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

712 China St
Crooksville, OH 43731
Phone (740) 697-0173

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027997 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

440 Browns LN
Coshocton, OH 43812-2044

Mailing address

440 Browns LN
Coshocton, OH 43812-2044
Phone (888) 454-5157

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2024.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1164026258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BROWNS LN",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122044",
            "telephone_number": "888-454-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BROWNS LN",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122044",
            "telephone_number": "888-454-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMOVIC-FISHER",
        "first_name": "ANGELA",
        "middle_name": "JENE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.