Organization Active NPI

NP Advantage LLC

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1174168843
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NP ADVANTAGE LLC
Practice address
20 S 3Rd St Ste 210
Columbus, OH 43215-4206
Phone
(614) 296-4941
NPI assigned
Nov 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Dr. Patricia Denise Bailey, PHD APRN CNPNPI 1538309323
Title
Nurse Practitioner and Owner
Phone
(614) 296-4941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

20 S 3Rd St Ste 210
Columbus, OH 43215-4206

Mailing address

385 Kasons Way
Gahanna, OH 43230-6295
Phone (614) 330-6094

Other identifiers 1

IdentifierTypeStateIssuer
1538309323MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116001612 OH Part B Supplier - Clinic/Group Practice 8224463443 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Columbus, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
NP Advantage LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5969 E Broad St
Ste 300A
Columbus, OH 43213
Phone (614) 296-4941

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1174168843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 KASONS WAY",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306295",
            "telephone_number": "614-330-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 3RD ST STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154206",
            "telephone_number": "614-296-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-17",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER AND OWNER",
        "authorized_official_telephone_number": "614-296-4941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD APRN CNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538309323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.