Individual provider Active NPI

Harriet Awo Haysel, APRN

  • Gerontology Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1316769961
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0037915 Issued in OH
Practice address
1500 Sherman Ave
Cincinnati, OH 45212-2510
Phone
(513) 328-6953
NPI assigned
Oct 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0037915 OH
Acute Care Nurse Practitioner 363LA2100X 0037915 OH
Adult Health Nurse Practitioner 363LA2200X 0037915 OH
Gerontology Nurse Practitioner 363LG0600X 0037915 OH Primary

Addresses

Primary practice location

1500 Sherman Ave
Cincinnati, OH 45212-2510

Mailing address

2960 Socialville Foster Rd
Maineville, OH 45039-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250501000336 OH Practitioner - Nurse Practitioner 7810413945 Reassigns benefits to 1 organization
I20260410003610 WV Practitioner - Nurse Practitioner 7810413945

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

1500 Sherman Ave
Cincinnati, OH 45212-2510
Phone (513) 631-6800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0037915OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 11, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Apr 14, 2025 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1500 Sherman Ave
Norwood, OH 45212
Phone (513) 403-8465

7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1316769961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 SOCIALVILLE FOSTER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHERMAN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122510",
            "telephone_number": "513-328-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYSEL",
        "first_name": "HARRIET",
        "middle_name": "AWO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0037915",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0037915",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "0037915",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "0037915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.