Individual provider Active NPI

Loraine D Nkuissu Damcheu, NP

  • Family Nurse Practitioner
  • Pataskala, OH
National Provider Identifier
1235837121
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032601 Issued in OH
Practice address
2108 W Gardenia Dr
Pataskala, OH 43062-6019
Phone
(614) 530-3392
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 APRN.CNP.0032601 OH Primary

Addresses

Primary practice location

2108 W Gardenia Dr
Pataskala, OH 43062-6019

Mailing address

2108 W Gardenia Dr
Pataskala, OH 43062-6019

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
I20231201001079 OH Practitioner - Nurse Practitioner 0244688232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

6547 Artesian Run
Suite 200
Delaware, OH 43015-6545
Phone (740) 417-8037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032601OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Jan 12, 2020 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Oct 23, 2023 Accepting new patients

Locations

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

6547 Artesian Run
Ste 200
Delaware, OH 43015
Phone (740) 417-8037

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1235837121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W GARDENIA DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430626019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W GARDENIA DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430626019",
            "telephone_number": "614-530-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMCHEU",
        "first_name": "LORAINE D",
        "middle_name": "NKUISSU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pataskala, OH

Sources for this page

Verify at the official NPI Registry.