Individual provider Active NPI

Alicia Doreen Kammler, CNP

  • Nurse Practitioner
  • Jackson, OH
National Provider Identifier
1407841992
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP08187 Issued in OH
Practice address
1000 Veterans Dr
Jackson, OH 45640-9586
Phone
(740) 395-8090
Fax
(740) 395-8197
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP08187 OH Primary

Addresses

Primary practice location

1000 Veterans Dr
Jackson, OH 45640-9586

Mailing address

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-4222

Other identifiers 1

IdentifierTypeStateIssuer
2626144MedicaidOH

Other names 1

  • Alicia Doreen Parker Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.fam.med.jackson@adena.medicity.net

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
I20051103000788 OH Practitioner - Nurse Practitioner 2365460839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

315 Washington St
Oak Hill, OH 45656-1500
Phone (740) 395-8080

Hospital & facility affiliations

  • Abbott Home Care, Inc Home health agency, Coal Grove, OH, CCN 368014
  • Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
  • Holzer Home Care Home health agency, Gallipolis, OH, CCN 367117
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP08187OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Apr 1, 2010 Accepting new patients
Southern Ohio Rheumatology Inc Past Accepting new patients
City of Portsmouth Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

1000 Veterans Dr
Jackson, OH 45640
Phone (740) 395-8050

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: akammler1061371@direct.osumc.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 5

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1407841992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4222",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409586",
            "telephone_number": "740-395-8090",
            "fax_number": "740-395-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMLER",
        "first_name": "ALICIA",
        "middle_name": "DOREEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP08187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2626144",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.jackson@adena.medicity.net",
            "affiliation": "N",
            "address_1": "1000 Veterans Dr",
            "city": "Jackson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456409586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "PARKER",
            "middle_name": "DOREEN",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.