Individual provider Active NPI

Angela Strotman

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason, OH
National Provider Identifier
1417518226
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024833 Issued in OH
Practice address
3615 Socialville Foster Rd Ste D
Mason, OH 45040-9054
Phone
(513) 295-2687
NPI assigned
Jun 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024833 OH Primary

Addresses

Primary practice location

3615 Socialville Foster Rd Ste D
Mason, OH 45040-9054

Mailing address

3253 N Bend Rd
Cincinnati, OH 45239-7610
Phone (513) 469-1129

Other practice location 1

3253 N Bend Rd
Cincinnati, OH 45239-7610
Phone (513) 469-1129

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
I20210201002474 OH Practitioner - Nurse Practitioner 0749616779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Wellness Partners LLCGroup PAC ID 1254745334, 8 clinicians

Practice addresses (Care Compare)

3253 N Bend Rd
Cincinnati, OH 45239-7610
Phone (513) 496-1129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Wellness Partners LLC Psychiatric/Mental Health CurrentSince Jan 1, 2021 Accepting new patients

Locations

3253 North Bend Rd
Cincinnati, OH 45239
Phone (513) 496-1129

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1417518226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397610",
            "telephone_number": "513-469-1129",
            "fax_number": "513-880-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SOCIALVILLE FOSTER RD STE D",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409054",
            "telephone_number": "513-295-2687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 N Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452397610",
            "country_code": "US",
            "telephone_number": "513-469-1129",
            "fax_number": "513-880-0657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROTMAN",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.