Individual provider Active NPI

Charity Willoughby, CNP

  • Emergency Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1235446527
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11644 Issued in OH
Practice address
3131 Queen City Ave
Cincinnati, OH 45238-2316
Phone
(513) 557-3333
Fax
(513) 557-3506
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11644 OH Primary
Nurse Practitioner 363L00000X 11644 OH

Addresses

Primary practice location

3131 Queen City Ave
Cincinnati, OH 45238-2316

Mailing address

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 557-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101025000898 OH Practitioner - Nurse Practitioner 9335332188 Reassigns benefits to 6 organizations
I20210420002304 KY Practitioner - Nurse Practitioner 9335332188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Health Network Urgent Care, LLCGroup PAC ID 9931388246, 16 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite F
Ft Wright, KY 41011-2882
Phone (859) 292-9176

6560 Harrison Ave
Cincinnati, OH 45247-7823
Phone (513) 574-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
77.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11644OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Cincinnati, Inc CurrentSince Mar 1, 2017 Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine CurrentSince Sep 1, 2010 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
The Christ Hospital Health Network Urgent Care, LLC Nurse Practitioner CurrentSince Dec 1, 2020 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2010 Accepting new patients
Pain Management Associates LLC CurrentSince Mar 14, 2017 Accepting new patients
The Christ Hospital Medical Associates, LLC Emergency Medicine PastSince Dec 1, 2020 Accepting new patients

Locations

1955 Dixie Hwy
Ste F
Ft Wright, KY 41011
Phone (859) 292-9176

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

6560 Harrison Ave
Cincinnati, OH 45247
Phone (513) 564-1366

3131 Queen City Ave
Cincinnati, OH 45238
Phone (513) 557-3209

4440 Red Bank Rd
Ste 110
Cincinnati, OH 45227
Phone (513) 564-1366

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Organizations & group practices 7

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 1

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1235446527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-557-3333",
            "fax_number": "513-557-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 QUEEN CITY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382316",
            "telephone_number": "513-557-3333",
            "fax_number": "513-557-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "CHARITY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "11644",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "11644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.