Individual provider Active NPI

Nicholas Caputo, MSN, APRN-CNP

  • Gerontology Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1225697261
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
024788 Issued in OH
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

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
024788OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Healing LLC Single Specialty CurrentSince Dec 9, 2024 Accepting new patients

Locations

6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.