Individual provider Active NPI

Robert M Peron, ACNP-BC, CNP

  • Acute Care Nurse Practitioner
  • Loveland, OH
National Provider Identifier
1194027565
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA 11591 - NP Issued in OH
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

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0099881MedicaidOH

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.11591-NPOHMDNurse Practitioner
430152 FNYMDAcute Care Nurse Practitioner
COA 11591 - NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Mar 28, 2018 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

Verify at the official NPI Registry.