Individual provider Active NPI

Katherine C Bilderback, CNP

  • Acute Care Nurse Practitioner
  • Ravenna, OH
National Provider Identifier
1396094835
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA.13784-NP Issued in OH
Practice address
6847 N Chestnut St
Ravenna, OH 44266-3929
Phone
(330) 297-2850
NPI assigned
Aug 30, 2012
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X COA.13784-NP OH Primary

Addresses

Primary practice location

6847 N Chestnut St
Ravenna, OH 44266-3929

Mailing address

15877 Elmwood Dr
Doylestown, OH 44230-1000
Phone (330) 464-4925

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
I20130409000492 OH Practitioner - Nurse Practitioner 0345486775 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ues Ahuja LLCGroup PAC ID 5496985467, 39 clinicians

Practice addresses (Care Compare)

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.04 of 100Reported as group
Quality
85.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.13784-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Link Center LLC CurrentSince Oct 1, 2020 Accepting new patients
Ues Ahuja LLC CurrentSince Oct 1, 2020 Accepting new patients
Magis Emergency Medicine LLC CurrentSince Oct 1, 2020 Accepting new patients
Ues Geauga, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-6000

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

411 Devon Pl
Ste A
Kent, OH 44240
Phone (330) 677-7680

411 Devon Pl
Ste B
Kent, OH 44240
Phone (330) 677-7680

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

Interoperability endpoints

  • Direct secure messaging: kbilderback39752@ehrdirect.uhhospitals.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1396094835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15877 ELMWOOD DR",
            "city": "DOYLESTOWN",
            "state": "OH",
            "postal_code": "442301000",
            "telephone_number": "330-464-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-297-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILDERBACK",
        "first_name": "KATHERINE",
        "middle_name": "C",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.13784-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.