Individual provider Active NPI

Carol Hartman

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1316293822
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13711 Issued in OH
Practice address
376 W 10TH Ave
791 Prior Hall
Columbus, OH 43210-1280
Phone
(614) 293-8305
NPI assigned
Aug 2, 2012
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13711 OH Primary
Registered Nurse 163W00000X RN341177 OH

Addresses

Primary practice location

376 W 10TH Ave
791 Prior Hall
Columbus, OH 43210-1280

Mailing address

575 Copeland Mill Rd Ste 1D
Columbus, OH 43081-8977

Other names 1

  • Carol Montgomery Former name

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
I20120926000537 OH Practitioner - Nurse Practitioner 0244489722 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN341177OHMDRegistered Nurse
13711OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wedgewood Urgent Care, LTD CurrentSince Dec 30, 2024 Accepting new patients
Osu Emergency Medicine LLC CurrentSince Sep 10, 2012 Accepting new patients

Locations

4460 Lake Forest Dr
Ste 216
Blue Ash, OH 45242
Phone (614) 234-0600

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

101 W Cherry St
Sunbury, OH 43074
Phone (740) 965-8305

575 Copeland Mill Rd
Ste 1D
Westerville, OH 43081
Phone (614) 794-0481

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1316293822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COPELAND MILL RD STE 1D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430818977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 W 10TH AVE",
            "address_2": "791 PRIOR HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-293-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "13711",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN341177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MONTGOMERY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.