Active NPI
Morgan R Kamenik, CNP
- Nurse Practitioner
- Ashland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 023188
- Practice address
- 1016 Sugarbush Dr
Ashland, OH 44805-9489 - Phone
- (419) 903-0404
- Fax
- (419) 903-9405
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 023188 | OH | Primary |
Addresses
Primary practice location
1016 Sugarbush Dr
Ashland, OH 44805-9489
Mailing address
211 Edgefield Blvd
Marion, OH 43302-5801
Phone (740) 914-4178
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180822002732 | OH | Practitioner - Nurse Practitioner | 0446509517 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Regional Health System
Practice addresses (Care Compare)
1025 Ctr St
Ashland, OH 44805-4011
Phone (419) 289-0491
1033 Ashland Rd
Suite 173
Mansfield, OH 44905-2156
Phone (567) 345-3010
663 E Main St
Ashland, OH 44805-2616
Phone (419) 207-2502
Hospital & facility affiliations
- University Hospitals Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023188 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incare Health Solutions LLC | Multi-Specialty | Current | Accepting new patients |
| Samaritan Regional Health System | Multi-Specialty | Current | Accepting new patients |
| Incare Health Solutions, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
1016 Sugarbush Dr
Ashland, OH 44805
Phone (419) 903-0404
211 Edgefield Blvd
Marion, OH 43302
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
Interoperability endpoints
- mkamenik28018@ehrdirect.uhhospitals.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Marion, OH
- NPI 1235422403
Multi-Specialty, OH
-
- Pharmacy
- Ashland, OH
- NPI 1073587192
-
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
-
- Primary Care Nurse Practitioner
- Ontario, OH
- NPI 1639621824
Multi-Specialty
Hospital & facility affiliations 1
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": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1366928145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EDGEFIELD BLVD",
"city": "MARION",
"state": "OH",
"postal_code": "433025801",
"telephone_number": "740-914-4178",
"fax_number": "740-386-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 SUGARBUSH DR",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448059489",
"telephone_number": "419-903-0404",
"fax_number": "419-903-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMENIK",
"first_name": "MORGAN",
"middle_name": "R",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "023188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.