Individual provider Active NPI

Julie L. Bicknell, APRN.CNP

  • Gerontology Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1538725924
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.025198 Issued in OH
Practice address
4310 Cooper Rd
Cincinnati, OH 45242-5613
Phone
(513) 246-9799
NPI assigned
May 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 APRN.CNP.025198 OH
Acute Care Nurse Practitioner 363LA2100X 385589 OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.025198 OH Primary

Addresses

Primary practice location

4310 Cooper Rd
Cincinnati, OH 45242-5613

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-6529

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
I20190927001243 OH Practitioner - Nurse Practitioner 3375873763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Hospice of Cincinnati IncorporatedGroup PAC ID 3274848171, 27 clinicians

Practice addresses (Care Compare)

4310 Cooper Rd
Cincinnati, OH 45242-5613
Phone (513) 246-9373

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
385589OHMDAcute Care Nurse Practitioner
APRN.CNP.025198OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Cincinnati Incorporated CurrentSince Dec 6, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bethesda Hospital Inc Past Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

4310 Cooper Rd
Cincinnati, OH 45242
Phone (513) 246-9373

4360 Cooper Rd
Cincinnati, OH 45242
Phone (513) 769-4408

1010 Eaton Ave
Hamilton, OH 45013
Phone (513) 246-9600

Interoperability endpoints

  • Direct secure messaging: jbicknell50710@direct.trihealth.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 1

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": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1538725924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-246-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 COOPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425613",
            "telephone_number": "513-246-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-6529",
            "fax_number": "614-293-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKNELL",
        "first_name": "JULIE",
        "middle_name": "L.",
        "credential": "APRN.CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-12",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025198",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "385589",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.025198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.