Active NPI
Nkengafac Etchi, CNP, FNP
- Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.024052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376969204 | Other | OH | CENTERS FOR MEDICARE AND MEDICAID SERVICES |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 393025 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nkeng Health Care LLC | Current | Accepting new patients | |
| First Step Recovery Center | Single Specialty | Current | Accepting new patients |
| First Step Recovery Center | Current | Accepting new patients | |
| Alpha Recovery Center | Current | Accepting new patients | |
| Next Step Recovery Center | Single Specialty | Current | Accepting new patients |
| Alpha Recovery Center | Registered Nurse | Current | 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.
-
- Registered Nurse
- Columbus, OH
- NPI 1639771975
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1003406034
Single Specialty
-
- Addiction Medicine (Family Medicine) Physician
- Reynoldsburg, OH
- NPI 1467826453
Single Specialty
-
- Addiction Medicine (Family Medicine) Physician
- Columbus, OH
- NPI 1679400337
-
- Home Health Agency
- Gahanna, OH
- NPI 1134680481
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Reynoldsburg, OH
- NPI 1477004810
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.