Individual provider Active NPI

Morgan R Kamenik, CNP

  • Nurse Practitioner
  • Ashland, OH
National Provider Identifier
1366928145
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
023188 Issued in OH
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

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 7 clinicians

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 Hospital, Ashland, OH, CCN 360002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023188OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients
Samaritan Regional Health System Multi-Specialty Current Accepting new patients
Incare Health Solutions, LLC Multi-Specialty CurrentSince Aug 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.