Individual provider Active NPI

Angela Grantmaier, CNP

  • Family Nurse Practitioner
  • Milford, OH
National Provider Identifier
1588110779
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019875 Issued in OH
Practice address
201 Old Bank Rd Ste 100
Milford, OH 45150-2443
Phone
(513) 683-5700
Fax
(513) 683-5701
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019875 OH Primary
Acute Care Nurse Practitioner 363LA2100X RN.274825 OH

Addresses

Primary practice location

201 Old Bank Rd Ste 100
Milford, OH 45150-2443

Mailing address

201 Old Bank Rd Ste 100
Milford, OH 45150-2443
Phone (513) 683-5700

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
I20161004001504 OH Practitioner - Nurse Practitioner 6800184045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone (513) 583-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.274825OHMDAcute Care Nurse Practitioner
APRN.CNP.019875OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Oct 1, 2016 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

201 Old Bank Rd
Milford, OH 45150
Phone (513) 248-0100

201 Old Bank Rd
Ste 100
Milford, OH 45150
Phone (513) 683-1200

Interoperability endpoints

  • Direct secure messaging: agrantmaier148043@direct.bsmhealth.org

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

Hospital & facility affiliations 4

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1588110779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OLD BANK RD STE 100",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502443",
            "telephone_number": "513-683-5700",
            "fax_number": "513-683-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD BANK RD STE 100",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502443",
            "telephone_number": "513-683-5700",
            "fax_number": "513-683-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTMAIER",
        "first_name": "ANGELA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019875",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "RN.274825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.