Individual provider Active NPI

Darlene Tierney, ARNP

  • Nurse Practitioner
  • Montgomery, OH
National Provider Identifier
1174526057
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0027524 Issued in OH
Practice address
11140 Montgomery Rd Ste 1300
Montgomery, OH 45249-2309
Phone
(859) 331-0774
Fax
(859) 578-3800
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3003443 KY
Nurse Practitioner 363L00000X APRN.CNP.0027524 OH Primary

Addresses

Primary practice location

11140 Montgomery Rd Ste 1300
Montgomery, OH 45249-2309

Mailing address

11140 Montgomery Rd Ste 1300
Montgomery, OH 45249-2309

Other practice location 1

1955 Dixie Hwy Ste E
Ft Wright, KY 41011-2882
Phone (859) 292-4560

Other identifiers 4

IdentifierTypeStateIssuer
201069770MedicaidIN
78004918MedicaidKY
0062228MedicaidOH
500016674OtherPALMETTO GBA-RAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090415000587 KY Practitioner - Nurse Practitioner 9335296029 Reassigns benefits to 2 organizations
I20201001002212 OH Practitioner - Nurse Practitioner 9335296029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 792-7800

1955 Dixie Hwy
Suite E
Ft Wright, KY 41011-2882
Phone (859) 292-4560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003443KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Mar 27, 2011 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Mar 27, 2011 Accepting new patients
The Christ Hospital Cardiovascular Associates LLC CurrentSince Oct 1, 2020 Accepting new patients
The Christ Hospital Medical Associates, LLC Nurse Practitioner PastSince Oct 1, 2020 Accepting new patients
Christ Hospital Cardiology Assoc Past Accepting new patients

Locations

900 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-5501

20 N Grand Ave
Ste 3
Fort Thomas, KY 41075
Phone (606) 781-8000

1955 Dixie Hwy
Ste E
Ft Wright, KY 41011
Phone (859) 292-4560

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

7450 S Mason Montgomery Rd
Unit 200
Mason, OH 45040
Phone (513) 204-5785

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

11140 Montgomery Rd
Ste 1300
Montgomery, OH 45249

Interoperability endpoints

  • Direct secure messaging: dtierney101568@direct-prd.stelizabeth.com

Organizations & group practices 5

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 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1174526057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD STE 1300",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452492309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD STE 1300",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452492309",
            "telephone_number": "859-331-0774",
            "fax_number": "859-578-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 Dixie Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Ft Wright",
            "state": "KY",
            "postal_code": "410112882",
            "country_code": "US",
            "telephone_number": "859-292-4560",
            "fax_number": "859-292-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "DARLENE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003443",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201069770",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004918",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062228",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MEDICARE",
            "identifier": "500016674",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.