Individual provider Active NPI

Paula Nicole Kostuik Neidhard, CNP

  • Acute Care Nurse Practitioner
  • Montgomery, OH
National Provider Identifier
1518909415
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.18800 Issued in OH
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

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
402732900MedicaidMD
G010 /OtherMDBLUECHOICE
KDA7 /OtherMDBC / 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001317 OH Practitioner - Nurse Practitioner 4587653548 Reassigns benefits to 2 organizations

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
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
R152392MDMDNurse Practitioner
APRN.CNP.18800OHMDAcute Care Nurse Practitioner
COA.18800-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Nurse Practitioner CurrentSince Aug 1, 2016 Accepting new patients
Trihealth H LLC Nurse Practitioner CurrentSince Nov 4, 2024 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

  • Direct secure messaging: pkostuik155846@direct.uchealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.