Individual provider Active NPI

Josiane Nyirashombo, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1609580109
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP0041645 Issued in OH
Practice address
12 W Wenger Rd Ste J
Englewood, OH 45322-2755
Phone
(937) 287-9201
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP0041645 OH Primary

Addresses

Primary practice location

12 W Wenger Rd Ste J
Englewood, OH 45322-2755

Mailing address

12 W Wenger Rd Ste J
Englewood, OH 45322-2755
Phone (937) 287-9106

Other identifiers 1

IdentifierTypeStateIssuer
921312792OtherOHHEALTH PARTNERS

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
I20260504004794 OH Practitioner - Nurse Practitioner 6204304785 Practice locations: Englewood, OH

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 W Wenger Rd
Suite J
Englewood, OH 45322-2755
Phone (937) 287-9106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP0041645OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Homecare LLC Home Health Aide CurrentSince Apr 1, 2023 Accepting new patients
Hope Rising Wellness Center LLC Psychiatric/Mental Health Current Accepting new patients

Locations

12 W Wenger Rd
Ste J
Englewood, OH 45322
Phone (937) 239-5644

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1609580109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W WENGER RD STE J",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222755",
            "telephone_number": "937-287-9106",
            "fax_number": "937-518-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WENGER RD STE J",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222755",
            "telephone_number": "937-287-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYIRASHOMBO",
        "first_name": "JOSIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP0041645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "921312792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.