Individual provider Active NPI

Tyler Johnoff, FNP-C

  • Family Nurse Practitioner
  • Grove City, OH
National Provider Identifier
1346800828
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024790 Issued in OH
Practice address
5300 N Meadows Dr
Grove City, OH 43123-2546
Phone
(614) 663-5000
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 RN.389085 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.024790 OH Primary

Addresses

Primary practice location

5300 N Meadows Dr
Grove City, OH 43123-2546

Mailing address

12383 Prairie View Dr NW
Pickerington, OH 43147-7636
Phone (419) 509-6251

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
I20190805000516 OH Practitioner - Nurse Practitioner 8224365986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Practice addresses (Care Compare)

131 N Ewing St
Lancaster, OH 43130-3383

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.389085OHMDRegistered Nurse
APRN.CNP.024790OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Feb 9, 2025 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Columbus Inpatient Care Inc. CurrentSince Aug 1, 2019 Accepting new patients

Locations

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

5300 N Meadows Dr
Ste 7023
Grove City, OH 43123
Phone (614) 663-4242

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

131 N Ewing St
Ste A
Lancaster, OH 43130
Phone (740) 687-1247

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

Organizations & group practices 3

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1346800828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12383 PRAIRIE VIEW DR NW",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477636",
            "telephone_number": "419-509-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-663-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNOFF",
        "first_name": "TYLER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.389085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.