Individual provider Active NPI

Hailey Lyn Vonderahe, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1174134332
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027006 Issued in OH
Practice address
5141 W Broad St Ste 130
Columbus, OH 43228-1984
Phone
(614) 851-8469
Fax
(614) 851-8528
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X APRN.CNP.0027006 OH Primary

Addresses

Primary practice location

5141 W Broad St Ste 130
Columbus, OH 43228-1984

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.0027006OtherOHAPP ENDORSEMENT

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hholman508620@direct.ohiohealth.com Direct OhioHealth Physician Group, Inc.
Direct Messaging Address hholman508620@direct.ohiohealth.com Direct OhioHealth Corporation

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
I20200910001579 OH Practitioner - Nurse Practitioner 2769800556 Reassigns benefits to 1 organization

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
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1050 Delaware Ave
Marion, OH 43302-6416
Phone (614) 533-5500

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027006OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2021 Accepting new patients
Ohiohealth Corporation Single Specialty Current Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

5141 W Broad St
Ste 130
Columbus, OH 43228
Phone (614) 851-8469

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

300 Polaris Pkwy
Ste 2500
Westerville, OH 43082
Phone (614) 846-0044

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1174134332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 W BROAD ST STE 130",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281984",
            "telephone_number": "614-851-8469",
            "fax_number": "614-851-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDERAHE",
        "first_name": "HAILEY",
        "middle_name": "LYN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APP ENDORSEMENT",
            "identifier": "APRN.CNP.0027006",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hholman508620@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5141 W Broad St Ste 130",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432281984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hholman508620@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5141 W Broad St Ste 130",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432281984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.