Karin L Retzke, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN.CNP.12854 Issued in OH

Practice address

Midwest Breast & Aesthetic Surgery
1080 Beecher Crossing N, Suite a
Gahanna, OH 43230

Phone

(855) 687-6227

Fax

(881) 681-9643

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Karin L Walker Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• Central Ohio Breast and Endocrine Surgery LLC

  • Surgery Physician
  • Gahanna, OH
  • NPI 1073063145
  NPD
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Midwest Breast and Aesthetic Surgery, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Gahanna, OH
  • NPI 1205266095
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1528343266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIDWEST BREAST & AESTHETIC SURGERY",
            "address_2": "1080 BEECHER CROSSING N, SUITE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "855-687-6227",
            "fax_number": "881-681-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIDWEST BREAST & AESTHETIC SURGERY",
            "address_2": "1080 BEECHER CROSSING N, SUITE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "855-687-6227",
            "fax_number": "881-681-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZKE",
        "first_name": "KARIN",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.12854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059358",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "WALKER",
            "middle_name": "L",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lucas Paul Reinhart, D.C.
• Reliable Medical Supply LLC
• Erin Doyle Renner, RPH
• Responsive Home Health Care Inc
• Ronald E Reth
• Jose M Reyes-Ortiz, L.M.T, C.N.M.T.
• Seth J Rials, MD
• Javon Rice
• Lauryn Marissa Rice
• Richard R Nadalin Jr DPM

• Acute Care Nurse Practitioner in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.