Primary Care Nursing Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMARY CARE NURSING SERVICES, INC.

Practice address

3140 Lilly Mar CT
Dublin, OH 43017-5075

Phone

(614) 764-0960

Fax

(614) 761-0696

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susan M Sharp, RN

Title

Administrator

Phone

(614) 764-0960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 367612

Legal name

PRIMARY CARE NURSING SERVICES, INC.

Doing business as

AXXESS RCM

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 25, 1995

Last certification

Apr 18, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 17, 1986 in OH

Enrollment address

3140 Lilly Mar CT
Dublin, OH 43017-5075

Listed as

Primary Care Nursing ServicesCCN 367612

Ownership

Proprietary

Certified

Jan 25, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1194782979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 LILLY MAR CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175075",
            "telephone_number": "614-764-0960",
            "fax_number": "614-761-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LILLY MAR CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175075",
            "telephone_number": "614-764-0960",
            "fax_number": "614-761-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-764-0960",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0692255",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan James Price, MD
• Sarah Price, M.A. CCC-SLP
• Carrie Priddy
• Heather Lynn Priestland, O.D.
• Miranda Prieur
• Sharmekia Primes
• Tia Maria Prince, LPN
• Euleetha Pringle
• Julia Pringle
• Prisma Wellness Ohio LLC

• Home Health Agency in Dublin, OH
• Providers in Dublin, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.