Individual provider Active NPI

Samantha Elaine Wiesner, APRN, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1205401270
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028979 Issued in OH
Practice address
6139 Glenway Ave
Cincinnati, OH 45211-6312
Phone
(513) 346-3399
Fax
(513) 389-0957
NPI assigned
May 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015961 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.0028979 OH
Family Nurse Practitioner 363LF0000X 0028979 OH Primary

Addresses

Primary practice location

6139 Glenway Ave
Cincinnati, OH 45211-6312

Mailing address

6139 Glenway Ave
Cincinnati, OH 45211-6312
Phone (513) 346-3399

Other practice location 1

12089 Lebanon Rd
Sharonville, OH 45241-1703
Phone (513) 914-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210602001799 OH Practitioner - Nurse Practitioner 2567861164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

6139 Glenway Ave
Cincinnati, OH 45211-6312
Phone (513) 346-3399

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0028979OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Jun 19, 2023 Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

6139 Glenway Ave
Cincinnati, OH 45211
Phone (513) 346-3399

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

Interoperability endpoints

  • Direct secure messaging: swiesner386100@direct.trihealth.com

Organizations & group practices 2

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 6

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": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1205401270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116312",
            "telephone_number": "513-346-3399",
            "fax_number": "513-389-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6139 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116312",
            "telephone_number": "513-346-3399",
            "fax_number": "513-389-0957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12089 Lebanon Rd",
            "address_purpose": "LOCATION",
            "city": "Sharonville",
            "state": "OH",
            "postal_code": "452411703",
            "country_code": "US",
            "telephone_number": "513-914-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "SAMANTHA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015961",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.