NPIMap

Individual provider Active NPI

Glenn Christopher Cline, APRN, FNP-BC

  • Family Nurse Practitioner
  • Gahanna, OH
National Provider Identifier
1205498268
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024927 Issued in OH
Practice address
701 Tech Center Dr
Gahanna, OH 43230-1987
Phone
(143) 962-6846
Fax
(614) 396-2480
NPI assigned
Jun 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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.024927 OH Primary

Addresses

Primary practice location

701 Tech Center Dr
Gahanna, OH 43230-1987

Mailing address

1520 W 6TH Ave Apt 19
Columbus, OH 43212-2469
Phone (614) 271-3081

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gcline12509@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731001882 OH Practitioner - Nurse Practitioner 1153657986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Urology Group, LLC.Group PAC ID 5395758882, 48 clinicians

Practice addresses (Care Compare)

701 Tech Ctr Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 21, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 21, 2019 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Jan 3, 2022 Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Jan 3, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

500 Thomas Ln
Ste 3G
Columbus, OH 43214
Phone (614) 457-7732

Dept L3652
Columbus, OH 43260

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 120
Gahanna, OH 43230

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

620 Morrison Rd
#A
Gahanna, OH 43230

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 9

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": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1205498268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W 6TH AVE APT 19",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122469",
            "telephone_number": "614-271-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "143-962-6846",
            "fax_number": "614-396-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "GLENN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-30",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcline12509@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "500 Thomas Ln",
            "address_2": "Ste 3G",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.