Organization Active NPI

Our Redemption, LLC

  • Nurse Practitioner
  • Vandalia, OH
National Provider Identifier
1174491443
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OUR REDEMPTION, LLC
Practice address
404 Corporate Center Dr
Vandalia, OH 45377-1164
Phone
(937) 416-4186
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Nichole Marie Norvell, NPNPI 1487838694
Title
Nurse Practitioner
Phone
(937) 416-4186

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

404 Corporate Center Dr
Vandalia, OH 45377-1164

Mailing address

404 Corporate Center Dr
Vandalia, OH 45377-1164
Phone (937) 416-4186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522002025 OH Part B Supplier - Clinic/Group Practice 5597235200 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory
Tax ID family
Our Redemption 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

404 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 416-4186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1174491443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CORPORATE CENTER DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771164",
            "telephone_number": "937-416-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CORPORATE CENTER DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771164",
            "telephone_number": "937-416-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR REDEMPTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "NORVELL",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "937-416-4186",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.