Individual provider Active NPI

Henry Michael Keiser, AGNP-C

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1306353016
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021640 Issued in OH
Practice address
7625 Camargo Road
Cincinnati, OH 45243
Phone
(513) 770-0820
Fax
(513) 528-8147
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 432359 OH
Nurse Practitioner 363L00000X APRN.CNP.021640 OH Primary

Addresses

Primary practice location

7625 Camargo Road
Cincinnati, OH 45243

Mailing address

7625 Camargo Road
Cincinnati, OH 45243
Phone (513) 770-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20221201001365 HI Practitioner - Nurse Practitioner 9436411907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

4800 Kawaihau Rd
Kapaa, HI 96746-1971
Phone (808) 822-4961

Hospital & facility affiliations

  • Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
432359OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Mahelona Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Samuel Mahelona Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Hospice of Southwest Ohio, Inc. PastSince Feb 12, 2018 Accepting new patients

Organizations & group practices 6

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 2

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1306353016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45243",
            "telephone_number": "513-770-0820",
            "fax_number": "513-528-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45243",
            "telephone_number": "513-770-0820",
            "fax_number": "513-528-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "HENRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "432359",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.