Individual provider Active NPI

Roxanne Michelle Oliver, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Marion, OH
National Provider Identifier
1396166989
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18192-NP Issued in OH
Practice address
1728 Marion Waldo Rd
Marion, OH 43302-7457
Phone
(740) 389-2297
NPI assigned
Dec 26, 2013
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011135 IL
Family Nurse Practitioner 363LF0000X COA.18192-NP OH Primary

Addresses

Primary practice location

1728 Marion Waldo Rd
Marion, OH 43302-7457

Mailing address

6424 Holiday Dr
Prospect, OH 43342-9510
Phone (815) 953-1900

Other names 1

  • Ms. Roxanne Stevens Former name

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
I20151222000997 OH Practitioner - Nurse Practitioner 3072745678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Internal Medicine Associates LLCGroup PAC ID 4587697974, 4 clinicians

Practice addresses (Care Compare)

1728 Marion Waldo Rd
Marion, OH 43302-7457
Phone (740) 389-2297

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.18192-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Internal Medicine Associates LLC CurrentSince Feb 1, 2022 Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Meritra Physicians LLC Past Accepting new patients
Access Medical Group LLC PastSince Jan 1, 2020 Accepting new patients

Locations

1728 Marion Waldo Rd
Marion, OH 43302
Phone (419) 946-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1396166989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 HOLIDAY DR",
            "city": "PROSPECT",
            "state": "OH",
            "postal_code": "433429510",
            "telephone_number": "815-953-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027457",
            "telephone_number": "740-389-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ROXANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011135",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18192-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "STEVENS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.