Individual provider Active NPI

Nkengafac Etchi, CNP, FNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1376969204
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.024052 Issued in OH
Practice address
1251 W Broad St
Columbus, OH 43222-1359
Phone
(614) 584-4270
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN.CNP.024052 OH Primary
Registered Nurse 163W00000X 393025 OH

Addresses

Primary practice location

1251 W Broad St
Columbus, OH 43222-1359

Mailing address

313 Marjoram Dr
Gahanna, OH 43230-7027
Phone (614) 584-4270

Other identifiers 1

IdentifierTypeStateIssuer
1376969204OtherOHCENTERS FOR MEDICARE AND MEDICAID SERVICES

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Hopewellnesscenter1@gmail.com Health Information Exchange (HIE)
Other URL Hopewellnesscenter1@gmail.com Health Information Exchange (HIE)

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
I20190809001510 OH Practitioner - Nurse Practitioner 2860729001 Reassigns benefits to 3 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
Next Step Recovery CenterGroup PAC ID 3072038918, 2 clinicians

Practice addresses (Care Compare)

50 W 5TH Ave
Columbus, OH 43201-3219
Phone (614) 987-5003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
393025OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nkeng Health Care LLC Current Accepting new patients
First Step Recovery Center Single Specialty CurrentSince Jun 12, 2019 Accepting new patients
First Step Recovery Center CurrentSince Jun 12, 2019 Accepting new patients
Alpha Recovery Center Current Accepting new patients
Next Step Recovery Center Single Specialty CurrentSince Apr 8, 2025 Accepting new patients
Alpha Recovery Center Registered Nurse CurrentSince Jun 15, 2022 Accepting new patients

Locations

50 W 5th Ave
Columbus, OH 43201
Phone (614) 299-3100

6161 Busch Blvd
Ste 290
Columbus, OH 43229
Phone (614) 591-9494

3805 N High St
Ste 307
Columbus, OH 43214
Phone (614) 897-9252

1251 W Broad St
Columbus, OH 43222
Phone (614) 274-5572

2628 Kull Rd
Lancaster, OH 43130
Phone (614) 300-1878

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

Organizations & group practices 6

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": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1376969204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MARJORAM DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432307027",
            "telephone_number": "614-584-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221359",
            "telephone_number": "614-584-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHI",
        "first_name": "NKENGAFAC",
        "credential": "CNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024052",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "393025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERS FOR MEDICARE AND MEDICAID SERVICES",
            "identifier": "1376969204",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hopewellnesscenter1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gahanna",
            "address_1": "387 County Line",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432304323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hopewellnesscenter1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gahanna",
            "address_1": "387 County Line",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432304323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.