Active NPI
Nicholas Caputo, MSN, APRN-CNP
- Gerontology Nurse Practitioner
- Springfield, OH
National Provider Identifier
1225697261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 024788
- Practice address
- 362 S Burnett Rd
Springfield, OH 45505-2604 - Phone
- (937) 525-2470
- Fax
- (937) 525-2432
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 024788 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | 024788 | OH | Primary |
Addresses
Primary practice location
362 S Burnett Rd
Springfield, OH 45505-2604
Mailing address
362 S Burnett Rd
Springfield, OH 45505-2604
Phone (937) 525-2470
Other practice location 1
1444 Gunderson Ct
Columbus, OH 43228-7070
Phone (937) 631-5388
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191022001635 | OH | Practitioner - Nurse Practitioner | 4880926963 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024788 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Wound Healing LLC | Single Specialty | Current | Accepting new patients |
Locations
6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980
Interoperability endpoints
- ncaputo805499@direct.bsmhealth.org
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1225697261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 S BURNETT RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052604",
"telephone_number": "937-525-2470",
"fax_number": "937-525-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 S BURNETT RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052604",
"telephone_number": "937-525-2470",
"fax_number": "937-525-2432"
}
],
"practiceLocations": [
{
"address_1": "1444 Gunderson Ct",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432287070",
"country_code": "US",
"telephone_number": "937-631-5388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPUTO",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "MSN, APRN-CNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "024788",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "024788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.