Individual provider Active NPI

Erin Marie Hennessey, APRN

  • Family Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1467706911
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14277 Issued in OH
Practice address
7015 Lighthouse Way Ste 300
Perrysburg, OH 43551-7018
Phone
(419) 377-9294
NPI assigned
Nov 6, 2012
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704267841 MI
Family Nurse Practitioner 363LF0000X 14277 OH Primary

Addresses

Primary practice location

7015 Lighthouse Way Ste 300
Perrysburg, OH 43551-7018

Mailing address

7015 Lighthouse Way Ste 300
Perrysburg, OH 43551-7018
Phone (419) 520-7546

Other practice location 1

12621 Eckel Junction Rd Ste 2400
Perrysburg, OH 43551-1304
Phone (419) 887-7000

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
I20140509001031 OH Practitioner - Nurse Practitioner 4183857550 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704267841MIMDFamily Nurse Practitioner
14277OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Emergency Care Services, Inc. CurrentSince Apr 15, 2015 Accepting new patients
Arrowhead Plastic Surgeons Inc CurrentSince Apr 18, 2015 Accepting new patients

Locations

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

12621 Eckel Junction Rd
Ste 2400
Perrysburg, OH 43551
Phone (419) 887-4525

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Interoperability endpoints

  • Direct secure messaging: ehennessey77043@direct.bsmhealth.org

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, 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": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1467706911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 LIGHTHOUSE WAY STE 300",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517018",
            "telephone_number": "419-520-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 LIGHTHOUSE WAY STE 300",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517018",
            "telephone_number": "419-377-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12621 Eckel Junction Rd Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435511304",
            "country_code": "US",
            "telephone_number": "419-887-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2022-07-13",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704267841",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.