Andrew Ebosele, C.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CTP.18114-EX1 Issued in OH

Practice address

631 Bright Rd
Findlay, OH 45840-6940

Phone

(419) 424-0815

Fax

(419) 424-1405

NPI assigned

Nov 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Terra Nova Medical ClinicGroup PAC ID 9739362815, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIHFBD

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.

• Terra Nova Medical Clinic

  • Clinic/Center
  • Findlay, OH
  • NPI 1235436189
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blanchard Valley Regional Health Center

  • General Acute Care Hospital
  • Findlay, OH
  • NPI 1710920327
  Care Compare affiliation

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446336000000",
    "number": "1447623392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MILESTONE DR",
            "address_2": "APT 311",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BRIGHT RD",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406940",
            "telephone_number": "419-424-0815",
            "fax_number": "419-424-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBOSELE",
        "first_name": "ANDREW",
        "credential": "C.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CTP.18114-EX1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Woods Radiation Oncology
• Tyler Ebbeskotte
• Joshua Joseph Ebel, MD (5/4/2014)
• Carol Marie Ebersole, CNP
• Kurt L Ebersole, OD
• Andrew Michael Ebright, CRNA
• Jesse Eckert, QMHS BA CMS
• Caitlin Egbert, LSW
• Abrielle Egts, LSW
• Stephen Eichhorn

• Family Nurse Practitioner in Findlay, OH
• Providers in Findlay, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.