Individual provider Active NPI

Penny Jo Stocker, FNP-BC

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1467780502
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.020020 Issued in OH
Practice address
3131 Harvey Ave
Cincinnati, OH 45229-3000
Phone
(513) 585-8227
Fax
(513) 585-8288
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3886-033 WI
Family Nurse Practitioner 363LF0000X APRN.CNP.020020 OH
Nurse Practitioner 363L00000X APRN.CNP.020020 OH Primary

Addresses

Primary practice location

3131 Harvey Ave
Cincinnati, OH 45229-3000

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 245-3600

Other practice location 1

3000 Corporate Exchange Dr
Columbus, OH 43231-7689
Phone (888) 562-5442 ext. 12190

Other practice location 2

3000 Corporate Exchange Dr
Columbus, OH 43231-7689
Phone (888) 562-5442 ext. 12190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020020OHMDNurse Practitioner
3886-033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company LLC Past Accepting new patients

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467780502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-245-3600",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 HARVEY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293000",
            "telephone_number": "513-585-8227",
            "fax_number": "513-585-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Corporate Exchange Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432317689",
            "country_code": "US",
            "telephone_number": "888-562-5442 x12190",
            "fax_number": "562-276-4825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Corporate Exchange Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432317689",
            "country_code": "US",
            "telephone_number": "888-562-5442 x12190",
            "fax_number": "562-276-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKER",
        "first_name": "PENNY",
        "middle_name": "JO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3886-033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020020",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.020020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.