NPIMap

Individual provider Active NPI

Nicole R Puterbaugh, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1407017270
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 10037 Issued in OH
Practice address
6825 Wooster Pike
Cincinnati, OH 45227-4328
Phone
(513) 272-0250
Fax
(513) 272-1728
NPI assigned
Jun 24, 2008
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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 NP 10037 OH Primary

Addresses

Primary practice location

6825 Wooster Pike
Cincinnati, OH 45227-4328

Mailing address

4700 Smith Rd
Suite a
Cincinnati, OH 45212-2787
Phone (513) 533-1199

Other identifiers 1

IdentifierTypeStateIssuer
2949671MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000598 OH Practitioner - Nurse Practitioner 2163588559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

6949 Good Samaritan Dr
FL 2
Cincinnati, OH 45247-5204
Phone (513) 931-2400

7225 Wooster Pike
Cincinnati, OH 45227-3830
Phone (513) 272-0250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 10037OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC CurrentSince Jan 1, 2016 Accepting new patients
Health First Physicians Past Accepting new patients
Trihealth G LLC Past Accepting new patients
Health First Physicians Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

6825 Wooster Pike
Cincinnati, OH 45227
Phone (513) 272-0250

7225 Wooster Pike
Cincinnati, OH 45227
Phone (513) 272-0250

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

Interoperability endpoints

  • Direct secure messaging: nputerbaugh33940@direct.trihealth.com

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 9

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1407017270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SMITH RD",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122787",
            "telephone_number": "513-533-1199",
            "fax_number": "513-533-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 WOOSTER PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452274328",
            "telephone_number": "513-272-0250",
            "fax_number": "513-272-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTERBAUGH",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP 10037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2949671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.