Individual provider Active NPI

Elizabeth Roebuck, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1306369731
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020965 Issued in OH
Practice address
2805 Gilbert Ave
Cincinnati, OH 45206-1210
Phone
(513) 815-4475
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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.020965 OH Primary

Addresses

Primary practice location

2805 Gilbert Ave
Cincinnati, OH 45206-1210

Mailing address

421 S Campus Ave
Oxford, OH 45056-2487

Other practice location 1

13700 Colorado Blvd
Thornton, CO 80602-7024
Phone (303) 451-4250

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
I20180724001928 OH Practitioner - Nurse Practitioner 5496026395 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
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

Practice addresses (Care Compare)

1033 N High St
Columbus, OH 43201-2409
Phone (614) 340-6777

2805 Gilbert Ave
Cincinnati, OH 45206-1210
Phone (513) 815-4475

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Dec 2, 2019 Accepting new patients
Trihealth G, LLC CurrentSince Dec 28, 2018 Accepting new patients
Trihealth G LLC CurrentSince Dec 28, 2018 Accepting new patients
Equitas Health,Inc Current Accepting new patients
Equitas Health, Inc CurrentSince Dec 2, 2019 Accepting new patients

Locations

4685 Forest Ave
Ste A
Cincinnati, OH 45212
Phone (513) 579-8811

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

L3842
Columbus, OH 43260

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

2805 Gilbert Ave
Walnut Hills, OH 45206
Phone (513) 281-4116

Interoperability endpoints

  • Direct secure messaging: eroebuck294380@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1306369731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S CAMPUS AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 GILBERT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061210",
            "telephone_number": "513-815-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13700 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "806027024",
            "country_code": "US",
            "telephone_number": "303-451-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEBUCK",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.