Individual provider Active NPI

Amber Rychener, NP-C

  • Adult Health Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1568740454
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN341320-COA1 Issued in OH
Practice address
5700 Monroe St
Suite 303
Sylvania, OH 43560-2767
Phone
(419) 473-6622
Fax
(419) 473-6627
NPI assigned
Jul 27, 2011
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 RN341320-COA1 OH Primary

Addresses

Primary practice location

5700 Monroe St
Suite 303
Sylvania, OH 43560-2767

Mailing address

5700 Monroe St
Suite 303
Sylvania, OH 43560-2767
Phone (419) 473-6622

Other identifiers 2

IdentifierTypeStateIssuer
0051258MedicaidOH
1568740454OtherOHNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arychener29961@epicdirect.promedica.org

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
I20110823000069 OH Practitioner - Nurse Practitioner 3274703681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Toledo Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN341320-COA1OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Oct 1, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Oct 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1250 Ralston Ave
Ste 204
Defiance, OH 43512
Phone (419) 782-8332

1250 Ralston Ave
Ste 205
Defiance, OH 43512
Phone (419) 782-5774

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5700 Monroe St
Unit 303
Sylvania, OH 43560
Phone (419) 473-6622

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Interoperability endpoints

  • Direct secure messaging: arychener29961@direct.promedica.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1568740454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST",
            "address_2": "SUITE 303",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602767",
            "telephone_number": "419-473-6622",
            "fax_number": "419-473-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST",
            "address_2": "SUITE 303",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602767",
            "telephone_number": "419-473-6622",
            "fax_number": "419-473-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCHENER",
        "first_name": "AMBER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN341320-COA1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051258",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568740454",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arychener29961@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.