Active NPI
Coca Anghelache, CNP
- Family Nurse Practitioner
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 315385
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| COA.10993-NP | OH | MD | Family Nurse Practitioner |
| RN 315385 | OH | MD | Family Nurse Practitioner |
| RX.10993-EX1 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical LTC Inc | Current | Accepting new patients | |
| Valley Medical Primary Care, Inc | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Centerville, OH
- NPI 1306632708
-
- Geriatric Medicine (Internal Medicine) Physician
- Centerville, OH
- NPI 1528127610
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1760114961
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1538899638
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1326747734
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dayton, OH
- NPI 1699879601
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
dba PurposeCare of Ohio
- Home Health Agency
- Cincinnati, OH
- NPI 1629522206
-
- Community Based Hospice Care Agency
- Dayton, OH
- NPI 1346220142
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.