Individual provider Active NPI

Charlene Talison Hines, MSN,APRN.CNP, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1225635584
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09200741 Issued in OH
Practice address
1 N Commerce Park Dr Ste 221
Cincinnati, OH 45215-3188
Phone
(513) 485-0750
Fax
(513) 813-3023
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 F09200741 OH Primary

Addresses

Primary practice location

1 N Commerce Park Dr Ste 221
Cincinnati, OH 45215-3188

Mailing address

1 N Commerce Park Dr Ste 221
Cincinnati, OH 45215-3188
Phone (513) 485-0750

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
I20210512003091 OH Practitioner - Nurse Practitioner 9830508373 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F09200741OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hines Primary Care, LLC CurrentSince Nov 7, 2023 Accepting new patients
Theoria Medical CurrentSince Jun 13, 2022 Accepting new patients
CG Medical Associates Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1 N Commerce Park Dr
Ste 2
Cincinnati, OH 45215
Phone (513) 485-0750

9232 Reading Rd
Cincinnati, OH 45215
Phone (513) 245-8911

1 N Commerce Park Dr
Ste 221
Cincinnati, OH 45215
Phone (513) 485-0750

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Organizations & group practices 3

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1225635584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR STE 221",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153188",
            "telephone_number": "513-485-0750",
            "fax_number": "513-813-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR STE 221",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153188",
            "telephone_number": "513-485-0750",
            "fax_number": "513-813-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "CHARLENE",
        "middle_name": "TALISON",
        "credential": "MSN,APRN.CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F09200741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.