Individual provider Active NPI

Victorine Ankongbe Ndematebem

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1548035637
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11230307 Issued in OH
Practice address
3184 W Broad St Ste D
Columbus, OH 43204-1327
Phone
(614) 657-5157
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11230307 OH Primary

Addresses

Primary practice location

3184 W Broad St Ste D
Columbus, OH 43204-1327

Mailing address

3184 W Broad St Ste D
Columbus, OH 43204-1327
Phone (614) 657-5157

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
I20240415002545 OH Practitioner - Nurse Practitioner 0648619387 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11230307OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Your Door Visiting Healthcare Services, LLC Family CurrentSince Jan 2, 2025 Accepting new patients
Northstar Family Practice Inc CurrentSince Mar 9, 2024 Accepting new patients
Vpa PC CurrentSince Aug 2, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Aug 2, 2025 Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

5910 Cleveland Ave
Columbus, OH 43231
Phone (614) 888-2450

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1548035637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 W BROAD ST STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041327",
            "telephone_number": "614-657-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 W BROAD ST STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041327",
            "telephone_number": "614-657-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEMATEBEM",
        "first_name": "VICTORINE",
        "middle_name": "ANKONGBE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F11230307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.