Individual provider Active NPI

Renee Marie Obial, RN

  • Adult Health Clinical Nurse Specialist
  • Cincinnati, OH
National Provider Identifier
1164546867
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
APRN.CNS.01578 Issued in OH
Practice address
7502 State Rd Ste 2210
Cincinnati, OH 45255-2595
Phone
(513) 421-3494
Fax
(513) 345-2606
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X APRN.CNS.01578 OH Primary

Addresses

Primary practice location

7502 State Rd Ste 2210
Cincinnati, OH 45255-2595

Mailing address

7502 State Rd Ste 2210
Cincinnati, OH 45255-2595
Phone (513) 421-3494

Other practice location 1

4030 Smith Rd
Ste 300
Cincinnati, OH 45209-1974
Phone (513) 961-2052

Other identifiers 2

IdentifierTypeStateIssuer
RN-181335OtherOHRN LICENSE NUMBER
NS-01578OtherOHCERTIFICATE OF AUTHORITY

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
I20170524002710 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 7113294018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7502 State Rd
Suite 2210
Cincinnati, OH 45255-2595
Phone (513) 421-3494

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jun 13, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jun 13, 2024 Accepting new patients

Locations

7502 State Rd
Ste 2210
Cincinnati, OH 45255
Phone (513) 624-2070

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1164546867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 STATE RD STE 2210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552595",
            "telephone_number": "513-421-3494",
            "fax_number": "513-345-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 STATE RD STE 2210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552595",
            "telephone_number": "513-421-3494",
            "fax_number": "513-345-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 SMITH RD",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091974",
            "country_code": "US",
            "telephone_number": "513-961-2052",
            "fax_number": "513-345-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIAL",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "APRN.CNS.01578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "RN-181335",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF AUTHORITY",
            "identifier": "NS-01578",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.