Individual provider Active NPI

Sharon J Kowatch, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1518171354
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.06369 Issued in OH
Practice address
680 Buckles CT N Ste 100
Columbus, OH 43230-6927
Phone
(614) 986-0125
Fax
(614) 237-1646
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.06369 OH Primary

Addresses

Primary practice location

680 Buckles CT N Ste 100
Columbus, OH 43230-6927

Mailing address

680 Buckles CT N Ste 100
Columbus, OH 43230-6927
Phone (614) 986-0125

Other identifiers 1

IdentifierTypeStateIssuer
2741653MedicaidOH

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
I20070523000520 OH Practitioner - Nurse Practitioner 6507963725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1045 Beecher Crossing N
Suite C
Gahanna, OH 43230-4573

680 Buckles CT N
Suite 1a
Columbus, OH 43230-6928
Phone (614) 986-0125

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Ohio, LLC CurrentSince Sep 26, 2016 Accepting new patients
American Health Network of Ohio, LLC Adult Health Current Accepting new patients

Locations

4882 E Main St
Ste 200
Columbus, OH 43213
Phone (614) 237-0835

2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500

680 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 986-0125

Interoperability endpoints

  • Direct secure messaging: skowatch211375@direct.optum.com

Organizations & group practices 3

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 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1518171354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BUCKLES CT N STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432306927",
            "telephone_number": "614-986-0125",
            "fax_number": "614-237-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BUCKLES CT N STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432306927",
            "telephone_number": "614-986-0125",
            "fax_number": "614-237-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWATCH",
        "first_name": "SHARON",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.06369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2741653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.