Individual provider Active NPI

Melissa J Wiesenhahn, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1396199428
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18659-NP Issued in OH
Practice address
5885 Harrison Ave Ste 2500
Cincinnati, OH 45248-1726
Phone
(513) 347-2300
Fax
(513) 451-2135
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18659-NP OH Primary

Addresses

Primary practice location

5885 Harrison Ave Ste 2500
Cincinnati, OH 45248-1726

Mailing address

5885 Harrison Ave Ste 2500
Cincinnati, OH 45248-1726
Phone (513) 347-2300

Other identifiers 1

IdentifierTypeStateIssuer
0163731MedicaidOH

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
I20160429001495 OH Practitioner - Nurse Practitioner 4789983420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

5885 Harrison Ave
Cincinnati, OH 45248-1691
Phone (513) 598-3500

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family CurrentSince Mar 19, 2020 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Oct 31, 2017 Accepting new patients

Locations

237 William Howard Taft Rd
#23
Cincinnati, OH 45219

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

5885 Harrison Ave
Ste 2500
Cincinnati, OH 45248
Phone (513) 347-2300

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

210 Sterling Run Blvd
Mount Orab, OH 45154
Phone (937) 444-5014

Organizations & group practices 2

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.

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1396199428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE STE 2500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481726",
            "telephone_number": "513-347-2300",
            "fax_number": "513-451-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE STE 2500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481726",
            "telephone_number": "513-347-2300",
            "fax_number": "513-451-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESENHAHN",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18659-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.