Individual provider Active NPI

Coca Anghelache, CNP

  • Family Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1306170923
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 315385 Issued in OH
Practice address
6611 Clyo Rd Ste E
Centerville, OH 45459-2785
Phone
(937) 208-8282
Fax
(937) 208-8275
NPI assigned
Sep 29, 2009
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.10993-NP OH
Family Nurse Practitioner 363LF0000X RX.10993-EX1 OH
Family Nurse Practitioner 363LF0000X RN 315385 OH Primary

Addresses

Primary practice location

6611 Clyo Rd Ste E
Centerville, OH 45459-2785

Mailing address

6611 Clyo Rd
Ste E
Dayton, OH 45459-2785
Phone (937) 886-9191

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
I20091125000091 OH Practitioner - Nurse Practitioner 8325187768 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of OhioGroup PAC ID 3375924301, 51 clinicians
Valley Medical Primary Care, IncGroup PAC ID 0840284345, 8 clinicians
Valley Medical LTC IncGroup PAC ID 8820505258, 7 clinicians
Preferred Physician Services of Ohio LLCGroup PAC ID 7315328069, 66 clinicians

Practice addresses (Care Compare)

3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276

6611 Clyo Rd
Suite E
Centerville, OH 45459-2785
Phone (937) 208-8282

9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.10993-NPOHMDFamily Nurse Practitioner
RN 315385OHMDFamily Nurse Practitioner
RX.10993-EX1OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical LTC Inc CurrentSince Sep 19, 2025 Accepting new patients
Valley Medical Primary Care, Inc CurrentSince Nov 16, 2009 Accepting new patients

Locations

6611 Clyo Rd
Ste E
Dayton, OH 45459
Phone (937) 208-8282

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1306170923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 CLYO RD",
            "address_2": "STE E",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592785",
            "telephone_number": "937-886-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 CLYO RD STE E",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592785",
            "telephone_number": "937-208-8282",
            "fax_number": "937-208-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGHELACHE",
        "first_name": "COCA",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.10993-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RX.10993-EX1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN 315385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.