Organization Active NPI

Hines Primary Care, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1366130098
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HINES PRIMARY CARE, LLC
Practice address
1 N Commerce Park Dr Ste 221
Cincinnati, OH 45215-3188
Phone
(513) 485-0750
Fax
(513) 813-3023
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Charlene Hines, APRN.CNPNPI 1225635584
Title
Owner
Phone
(513) 485-0750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1 N Commerce Park Dr Ste 221
Cincinnati, OH 45215-3188

Mailing address

1 N Commerce Park Dr Ste 221
Cincinnati, OH 45215-3188
Phone (513) 485-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306003625 OH Part B Supplier - Clinic/Group Practice 6002252509 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2287242Hines Primary Care1 North Commerce Park Drive, Cincinnati, OH 45215Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory

Locations

1 N Commerce Park Dr
Ste 221
Cincinnati, OH 45215
Phone (513) 485-0750

1 N Commerce Park Dr
Ste 2
Cincinnati, OH 45215
Phone (513) 485-0750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1366130098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR STE 221",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153188",
            "telephone_number": "513-485-0750",
            "fax_number": "513-813-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR STE 221",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153188",
            "telephone_number": "513-485-0750",
            "fax_number": "513-813-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINES PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-485-0750",
        "authorized_official_credential": "APRN.CNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.