Individual provider Active NPI

Nana S Amoabea

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1184334609
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032724 Issued in OH
Practice address
6125 N Main St
Dayton, OH 45415-3110
Phone
(469) 257-3500
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0032724 OH Primary

Addresses

Primary practice location

6125 N Main St
Dayton, OH 45415-3110

Mailing address

6154 Teagarden Cir
Dayton, OH 45449-3014
Phone (469) 257-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230407001809 OH Practitioner - Nurse Practitioner 9032584891 Reassigns benefits to 3 organizations
I20240717003251 MI Practitioner - Nurse Practitioner 9032584891 Reassigns benefits to 1 organization
I20240723003116 IL Practitioner - Nurse Practitioner 9032584891 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Care Services LLC Family CurrentSince Sep 8, 2023 Accepting new patients
First Wholistic Healthcare Providers LLC Family CurrentSince Oct 14, 2025 Accepting new patients

Locations

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869

6125 N Main St
Englewood, OH 45415
Phone (513) 520-4794

9685 Chillicothe Rd
Willoughby, OH 44094
Phone (440) 256-8100

Interoperability endpoints

  • Direct secure messaging: namoabea15028@direct-prd.molinahealthcare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1184334609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6154 TEAGARDEN CIR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493014",
            "telephone_number": "469-257-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153110",
            "telephone_number": "469-257-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOABEA",
        "first_name": "NANA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.