Individual provider Active NPI

Rachael Clare Hermann, NP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1598930554
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.09498 Issued in OH
Practice address
3333 Burnet Ave, ML 2001
Cincinnati, OH 45229-3026
Phone
(513) 636-4408
Fax
(513) 636-7337
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 296960 OH
Nurse Practitioner 363L00000X APRN.CNP.09498 OH Primary

Addresses

Primary practice location

3333 Burnet Ave, ML 2001
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave, ML 5021
Cincinnati, OH 45229-3026

Other practice location 1

3229 Burnet Avenue
Cincinnati, OH 45229-3095
Phone (513) 872-6206

Other names 1

  • Rachael Clare Mouch Former name

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
I20210329001312 OH Practitioner - Nurse Practitioner 3577970011 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.09498OHMDNurse Practitioner
296960OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Jan 1, 2021 Accepting new patients
Shriners Hospitals for Children Pediatrics Current Accepting new patients
Shriners Hospitals for Children CurrentSince Jan 1, 2021 Accepting new patients
Children'S Hospital Medical Center Nurse Practitioner CurrentSince Feb 10, 2022 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#2001
Cincinnati, OH 45229
Phone (513) 636-4408

3229 Burnet Ave
Cincinnati, OH 45229
Phone (513) 584-4268

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

1 Childrens Plz
#2W
Dayton, OH 45404
Phone (513) 872-6000

Organizations & group practices 5

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1598930554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE, ML 5021",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE, ML 2001",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4408",
            "fax_number": "513-636-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 Burnet Avenue",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293095",
            "country_code": "US",
            "telephone_number": "513-872-6206",
            "fax_number": "513-872-6396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "RACHAEL",
        "middle_name": "CLARE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "296960",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.09498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MOUCH",
            "middle_name": "CLARE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.