Active NPI
Paula Nicole Kostuik Neidhard, CNP
- Acute Care Nurse Practitioner
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.18800
- Practice address
- 10506A Montgomery Rd
Montgomery, OH 45242-4402 - Phone
- (513) 853-1300
- Fax
- (513) 451-4118
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R152392 | MD | |
| Acute Care Nurse Practitioner | 363LA2100X | COA.18800-NP | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.18800 | OH | Primary |
Addresses
Primary practice location
10506A Montgomery Rd
Montgomery, OH 45242-4402
Mailing address
10506A Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 853-1300
Other practice location 1
3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-8500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402732900 | Medicaid | MD | |
| G010 / | Other | MD | BLUECHOICE |
| KDA7 / | Other | MD | BC / BS OF MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10506 A Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 853-1300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R152392 | MD | MD | Nurse Practitioner |
| APRN.CNP.18800 | OH | MD | Acute Care Nurse Practitioner |
| COA.18800-NP | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Nurse Practitioner | Current | Accepting new patients |
| Trihealth H LLC | Nurse Practitioner | Current | Accepting new patients |
| Trihealth G LLC | Past | Accepting new patients | |
| Trihealth Physician Institute | Nurse Practitioner | Past | Accepting new patients |
Locations
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
8240 Northcreek Dr
Ste 1100
Cincinnati, OH 45236
Phone (513) 853-1480
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
10506A Montgomery Rd
Fl 3
Montgomery, OH 45242
10506B Montgomery Rd
Montgomery, OH 45242
Phone (513) 346-5170
10506A Montgomery Rd
Fl 2
Montgomery, OH 45242
110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111
Interoperability endpoints
- pkostuik155846@direct.uchealth.com
- pkostuikneidhard448377@direct.trihealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Nurse Practitioner
-
dba GEROS Physician Extenders
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1518909415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506A MONTGOMERY RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424402",
"telephone_number": "513-853-1300",
"fax_number": "513-451-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506A MONTGOMERY RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424402",
"telephone_number": "513-853-1300",
"fax_number": "513-451-4118"
}
],
"practiceLocations": [
{
"address_1": "3130 Highland Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45219",
"country_code": "US",
"telephone_number": "513-475-8500",
"fax_number": "513-584-4281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSTUIK NEIDHARD",
"first_name": "PAULA",
"middle_name": "NICOLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R152392",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA.18800-NP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.18800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402732900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "G010 /",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC / BS OF MD",
"identifier": "KDA7 /",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.