Individual provider Active NPI

William Michael Seamon, MSN, APRN-CNP

  • Gerontology Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1306588454
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0031855 Issued in OH
Practice address
4760 E Galbraith Rd Ste 212
Cincinnati, OH 45236-6704
Phone
(513) 829-1700
NPI assigned
Apr 10, 2022
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.428017 OH
Nurse Practitioner 363L00000X APRN.CNP.0031855 OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0031855 OH Primary

Addresses

Primary practice location

4760 E Galbraith Rd Ste 212
Cincinnati, OH 45236-6704

Mailing address

4224 Matson Ave
Cincinnati, OH 45236-2512
Phone (513) 417-3110

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
I20221219001310 OH Practitioner - Nurse Practitioner 5496124299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4760 E Galbraith Rd
Suite 212
Cincinnati, OH 45236-6704
Phone (513) 686-2663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN.428017OHMDRegistered Nurse
APRN.CNP.0031855OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

4760 E Galbraith Rd
Ste 212
Cincinnati, OH 45236
Phone (513) 686-2663

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: wseamon245219@direct.bsmhealth.org

Organizations & group practices 2

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 1

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": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1306588454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 MATSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362512",
            "telephone_number": "513-417-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD STE 212",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366704",
            "telephone_number": "513-829-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAMON",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.428017",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031855",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0031855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.