Individual provider Active NPI

Debra Leigh Stump, FNP-C

  • Family Nurse Practitioner
  • Trenton, OH
National Provider Identifier
1578004263
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
020527 Issued in OH
Practice address
3590 Busenbark Rd
#400
Trenton, OH 45067-9552
Phone
(513) 988-6369
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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 020527 OH Primary

Addresses

Primary practice location

3590 Busenbark Rd
#400
Trenton, OH 45067-9552

Mailing address

3590 Busenbark Rd
Ste. 400
Trenton, OH 45067-9552
Phone (513) 988-6369

Other identifiers 2

IdentifierTypeStateIssuer
APRNCNP020527OtherOHOHIO BOARD OF NURSING
F02170090OtherOHAMERICAN ASSOCIATION OF NURSE PRACTITIONERS

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
I20170414000140 OH Practitioner - Nurse Practitioner 5092091694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020527OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Apr 17, 2017 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Mvhe Inc CurrentSince Apr 17, 2017 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

7887 Washington Village Dr
Ste 265
Dayton, OH 45459

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3590 Busenbark Rd
Ste 400
Trenton, OH 45067
Phone (513) 988-6369

Organizations & group practices 4

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": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1578004263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 BUSENBARK RD",
            "address_2": "STE. 400",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450679552",
            "telephone_number": "513-988-6369",
            "fax_number": "513-988-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BUSENBARK RD",
            "address_2": "#400",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450679552",
            "telephone_number": "513-988-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMP",
        "first_name": "DEBRA",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRNCNP020527",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS",
            "identifier": "F02170090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, OH

Sources for this page

Verify at the official NPI Registry.