Individual provider Active NPI

Osagie Ekhator

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1437867165
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0032665 Issued in OH
Practice address
8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone
(513) 432-0487
NPI assigned
Nov 10, 2022
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 0032665 OH Primary

Addresses

Primary practice location

8614 Shepherd Farm Dr
West Chester, OH 45069-1128

Mailing address

8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone (513) 432-0487

Other identifiers 1

IdentifierTypeStateIssuer
0032665OtherOHAPRN.CNP

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
I20230302001772 OH Practitioner - Nurse Practitioner 4385017821 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt. Airy Development, LLCGroup PAC ID 4486071545, 10 clinicians

Practice addresses (Care Compare)

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone (513) 866-2220

8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone (513) 942-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0032665OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Recovery Inc Multi-Specialty CurrentSince May 13, 2023 Accepting new patients
Beckett Springs Physician Group LLC Multi-Specialty Current Accepting new patients
Talbert House Multi-Specialty CurrentSince Feb 20, 2023 Accepting new patients
Mt. Airy Development, LLC Multi-Specialty CurrentSince Apr 29, 2024 Accepting new patients
Beckett Springs Physician Group LLC Multi-Specialty CurrentSince Dec 27, 2024 Accepting new patients

Locations

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

2621 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 221-4673

3009 Burnet Ave
Cincinnati, OH 45219
Phone (513) 242-7164

4966 Glenway Ave
Cincinnati, OH 45238
Phone (513) 242-7164

8614 Shepherd Farm Dr
West Chester, OH 45069
Phone (513) 942-9500

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.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1437867165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 SHEPHERD FARM DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691128",
            "telephone_number": "513-432-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 SHEPHERD FARM DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691128",
            "telephone_number": "513-432-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKHATOR",
        "first_name": "OSAGIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0032665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN.CNP",
            "identifier": "0032665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.