Individual provider Active NPI

Gina Marie Hissong, CNP

  • Adult Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1548263239
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP08086 Issued in OH
Practice address
4460 Red Bank Expressway
Suite 110
Cincinnati, OH 45227-2173
Phone
(513) 791-5200
Fax
(513) 791-5229
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP08086 OH Primary

Addresses

Primary practice location

4460 Red Bank Expressway
Suite 110
Cincinnati, OH 45227-2173

Mailing address

4460 Red Bank Expressway
Cincinnati, OH 45227-2173
Phone (513) 791-5200

Other identifiers 3

IdentifierTypeStateIssuer
1090462MedicaidOH
2525440OtherOHMEDICAID
NP17352OtherOHMEDICARE

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
I20050209000959 OH Practitioner - Nurse Practitioner 1658322375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Orthopedic Associates III LLCGroup PAC ID 8820282924, 33 clinicians
Kentucky Rehabilitation Services, Inc.Group PAC ID 8224096474, 142 clinicians

Practice addresses (Care Compare)

4460 Red Bank Expressway
Suite 110
Cincinnati, OH 45227-2173
Phone (513) 791-5200

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as group
Quality
79.11
Promoting interoperability
100
Improvement activities
40
Cost
77.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP08086OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Orthopedic Associates III LLC CurrentSince Apr 22, 2014 Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

4460 Red Bank Rd
Ste 110
Cincinnati, OH 45227

608 Reading Rd
Mason, OH 45040
Phone (513) 229-8908

Organizations & group practices 2

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1548263239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 RED BANK EXPRESSWAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272173",
            "telephone_number": "513-791-5200",
            "fax_number": "513-791-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 RED BANK EXPRESSWAY",
            "address_2": "SUITE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272173",
            "telephone_number": "513-791-5200",
            "fax_number": "513-791-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISSONG",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP08086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090462",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2525440",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NP17352",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.