Active NPI
Robert M Peron, ACNP-BC, CNP
- Acute Care Nurse Practitioner
- Loveland, OH
National Provider Identifier
1194027565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- COA 11591 - NP
- Practice address
- 12045 Waters Edge CT
Loveland, OH 45140-4825 - Phone
- (513) 486-6229
- Fax
- (513) 572-7912
- NPI assigned
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA 11591 - NP | OH | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 430152 F | NY | |
| Nurse Practitioner | 363L00000X | COA.11591-NP | OH |
Addresses
Primary practice location
12045 Waters Edge CT
Loveland, OH 45140-4825
Mailing address
12045 Waters Edge CT
Loveland, OH 45140-4825
Phone (513) 486-6229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099881 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.11591-NP | OH | MD | Nurse Practitioner |
| 430152 F | NY | MD | Acute Care Nurse Practitioner |
| COA 11591 - NP | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Nurse Practitioner | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042
Organizations & group practices 1
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": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1194027565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12045 WATERS EDGE CT",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451404825",
"telephone_number": "513-486-6229",
"fax_number": "513-572-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12045 WATERS EDGE CT",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451404825",
"telephone_number": "513-486-6229",
"fax_number": "513-572-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERON",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "ACNP-BC, CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA 11591 - NP",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "430152 F",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.11591-NP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099881",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.