Individual provider Active NPI

Mona Kaye Garrison, FNP-C

  • Family Medicine Physician
  • Bellefontaine, OH
National Provider Identifier
1285273367
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024399 Issued in OH
Practice address
1860 S Main St
Bellefontaine, OH 43311
Phone
(937) 592-0731
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 024399 OH Primary

Addresses

Primary practice location

1860 S Main St
Bellefontaine, OH 43311

Mailing address

1860 S Main St.
Bellefontaine, OH 43311

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
I20200824001126 OH Practitioner - Nurse Practitioner 6507283496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Urgent Care LLCGroup PAC ID 1254565302, 10 clinicians

Practice addresses (Care Compare)

1860 S Main St
Bellefontaine, OH 43311-1512
Phone (937) 592-0731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024399OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Urgent Care, LLC. CurrentSince Jun 14, 2020 Accepting new patients
Family Urgent Care LLC CurrentSince Jun 14, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1860 S Main St
Bellefontaine, OH 43311
Phone (614) 940-9431

879 N Bridge St
Chillicothe, OH 45601
Phone (740) 772-5050

Interoperability endpoints

  • Direct secure messaging: monagarrison@fucl-oh.direct.office.nextgen.com

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1285273367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 S MAIN ST.",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-592-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "MONA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "024399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.