Individual provider Active NPI

Stephanie L Rogers, CNP

  • Women's Health Clinical Nurse Specialist
  • Reynoldsburg, OH
National Provider Identifier
1437532504
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
COA.17575-NP Issued in OH
Practice address
6482 E Main St
Suite B
Reynoldsburg, OH 43068-7312
Phone
(614) 856-0327
Fax
(614) 856-5100
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X COA.17575-NP OH Primary

Addresses

Primary practice location

6482 E Main St
Suite B
Reynoldsburg, OH 43068-7312

Mailing address

6482 E Main St
Suite B
Reynoldsburg, OH 43068-7312
Phone (614) 856-0327

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
I20180219001496 OH Practitioner - Nurse Practitioner 0345542676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

444 N Cleveland Ave
Suite 120
Westerville, OH 43082-8388
Phone (614) 818-0300

575 Westar Xing
Westerville, OH 43082-7815

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17575-NPOHMDWomen's Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Apr 25, 2024 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Apr 25, 2024 Accepting new patients

Locations

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

6482 E Main St
Ste B
Reynoldsburg, OH 43068
Phone (614) 856-0327

575 Westar Xing
Ste 102
Westerville, OH 43082
Phone (614) 839-5555

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: stephanie.rogers.1@26020.direct.athenahealth.com
  • Direct secure messaging: stephanie.rogers.p3@direct.acoog.nextgenshare.com

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1437532504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6482 E MAIN ST",
            "address_2": "SUITE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687312",
            "telephone_number": "614-856-0327",
            "fax_number": "614-856-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6482 E MAIN ST",
            "address_2": "SUITE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687312",
            "telephone_number": "614-856-0327",
            "fax_number": "614-856-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "OH",
            "license": "COA.17575-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.