Tara Lynn Poneris, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Blanchester, OH
NPI 1376199067 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1376199067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.025384 (OH)
- Practice address
- 957A Cherry St
Blanchester, OH 45107-7907 - Phone
- (937) 783-7111
- Fax
- (937) 783-7115
- NPI assigned
- Aug 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 40
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthsource of Ohio Inc
Practice addresses (Care Compare)
6694 Goshen Rd
Suite 324
Goshen, OH 45122-9273
Phone (513) 592-3690
Hospital & facility affiliations
- Trihealth Clinton Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200106002681 | OH | Practitioner - Nurse Practitioner | 7618301300 | Reassigns benefits to 4 organizations |
| I20200723002735 | KY | Practitioner - Nurse Practitioner | 7618301300 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth U LLC | Current |
Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio Inc | Current |
Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio Inc | Current | Accepting new patients | |
| Healthsource of Ohio Inc | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Trihealth G, LLC | Current |
Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| The Little Clinic of Ohio LLC | Family | Current |
Accepting new patients |
| Trihealth G LLC | Current |
Accepting new patients | |
| Kiosk Medicine Kentucky LLC | Family | Current |
Accepting new patients |
| Healthsource of Ohio, Inc. | Current |
Accepting new patients | |
| Healthsource of Ohio Inc | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients |
Locations
2150 Dixie Hwy
Ft Mitchell, KY 41017
Phone (859) 292-1784
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
130 Pavilion Pkwy
Newport, KY 41071
Phone (859) 292-5680
957A Cherry St
Blanchester, OH 45107
Phone (937) 783-7111
4613 Marburg Ave
Cincinnati, OH 45209
Phone (513) 782-5060
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814
4090 E Galbraith Rd
Deer Park, OH 45236
Phone (513) 853-9700
6694 Goshen Rd
Ste 324
Goshen, OH 45122
Phone (513) 592-3690
6535 Charles Snider Rd
Goshen, OH 45140
Phone (513) 575-1444
424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041
824 Main St
Milford, OH 45150
Phone (513) 774-5606
6131 Campus Ln
Mt Washington, OH 45230
Phone (513) 732-5088
12110 Lebanon Rd
Sharonville, OH 45241
Phone (513) 853-9700
Interoperability endpoints
- tponeris362908@direct.trihealth.com
- tara.poneris.p1@direct.hsohio.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025384 | OH | Yes |
Addresses
Primary practice location
957A Cherry St
Blanchester, OH 45107-7907
Mailing address
424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 576-7700
Other practice location 1
4613 Marburg Ave
Cincinnati, OH 45209
Phone (513) 782-5060
Other practice location 2
4613 Marburg Ave
Cincinnati, OH 45209
Phone (513) 782-5060
Other practice location 3
4090 E Galbraith Rd
Cincinnati, OH 45236-2324
Phone (513) 853-9700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0382000 | Medicaid | OH |
Other names
- Mrs. Tara Lynn Poneris
Other providers in Blanchester, OH
- Ohio CVS Stores LLC
- Emily Sage Oyer
- Sheryl Parson
- Ruth Ann Perry
- Stephen Pitman
- Premise Health of Ohio Medical PA
- William Roger Puthoff
- Angela Putman
- Kelli Rector
- Restor Medical Center LLC
All providers in Blanchester, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.