Individual provider Active NPI

Geralyn Sue Perkins, N.P.

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1366762015
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11516NP Issued in OH
Practice address
5676 Far Hills Ave
Dayton, OH 45429-2206
Phone
(937) 436-1854
Fax
(937) 436-1459
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11516NP OH Primary

Addresses

Primary practice location

5676 Far Hills Ave
Dayton, OH 45429-2206

Mailing address

5676 Far Hills Ave
Dayton, OH 45429-2206
Phone (937) 436-1854

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
I20110126000042 OH Practitioner - Nurse Practitioner 7618156498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale W. Drollinger, M.D., IncGroup PAC ID 1759573116, 2 clinicians

Practice addresses (Care Compare)

5676 Far Hills Ave
Dayton, OH 45429-2206
Phone (937) 436-1854

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11516NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Institute of Ohio Inc CurrentSince Dec 18, 2010 Accepting new patients

Locations

5676 Far Hills Ave
Kettering, OH 45429
Phone (937) 436-1854

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJCDD/Endpoint/ABJCDD

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1366762015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292206",
            "telephone_number": "937-436-1854",
            "fax_number": "937-436-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292206",
            "telephone_number": "937-436-1854",
            "fax_number": "937-436-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "GERALYN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11516NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.