Individual provider Active NPI

Elizabeth Kreuzmann, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Thomas, KY
National Provider Identifier
1356860548
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18579 Issued in OH
Practice address
1000 S Fort Thomas Ave
Fort Thomas, KY 41075-2305
Phone
(859) 572-6202
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18579 OH Primary
Adult Health Nurse Practitioner 363LA2200X 18579 OH

Addresses

Primary practice location

1000 S Fort Thomas Ave
Fort Thomas, KY 41075-2305

Mailing address

1000 S Fort Thomas Ave
Fort Thomas, KY 41075-2305
Phone (859) 572-6202

Other practice location 1

3131 Harvey Ave
Cincinnati, OH 45229-3000
Phone (513) 585-8227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20180109002941 OH Practitioner - Nurse Practitioner 3678832144 Reassigns benefits to 1 organization
I20180111000090 KY Practitioner - Nurse Practitioner 3678832144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

68 Cavalier Blvd
Florence, KY 41042-1645
Phone (513) 475-7630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18579OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company LLC CurrentSince Jan 24, 2022 Accepting new patients

Locations

3131 Harvey Ave
Cincinnati, OH 45229
Phone (513) 585-8227

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

Interoperability endpoints

  • Direct secure messaging: ekreuzmann23688@direct.uchealth.com

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.

Hospital & facility affiliations 2

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1356860548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FORT THOMAS AVE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752305",
            "telephone_number": "859-572-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FORT THOMAS AVE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752305",
            "telephone_number": "859-572-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 Harvey Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293000",
            "country_code": "US",
            "telephone_number": "513-585-8227",
            "fax_number": "513-585-8278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREUZMANN",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "18579",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "18579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

Verify at the official NPI Registry.