Betsy J Adler, RN, CNP

Individual provider Active NPI Pediatric Nurse Practitioner · Cincinnati, OH

NPI 1366564478 · NPPES record last updated Jan 19, 2017

Key facts

NPI
1366564478
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
APRN.CNP.04875 (OH)
Practice address
3333 Burnet Ave
ML 2003
Cincinnati, OH 45229-3026
Phone
(513) 636-4432
Fax
(513) 636-3952
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130612000713 OH Practitioner - Nurse Practitioner 7810136306 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
COA.04875-NPOHMDNurse Practitioner
APRN.CNP.04875OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Nurse Practitioner Current
since Apr 24, 2013
Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#2003
Cincinnati, OH 45229
Phone (513) 636-4432

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.04875-NP OH
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.04875 OH Yes

Addresses

Primary practice location

3333 Burnet Ave
ML 2003
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave
ML 2003
Cincinnati, OH 45229-3026
Phone (513) 636-4432

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Pediatric Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.