Individual provider Active NPI

Paige Cunningham, APRN-CNP

  • Nurse Practitioner
  • Mount Vernon, OH
National Provider Identifier
1619651668
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0033368 Issued in OH
Practice address
11660 Upper Gilchrist Rd
Mount Vernon, OH 43050-9084
Phone
(740) 399-8008
Fax
(740) 399-8012
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0033368 OH Primary

Addresses

Primary practice location

11660 Upper Gilchrist Rd
Mount Vernon, OH 43050-9084

Mailing address

21220 Zolman Rd
Fredericktown, OH 43019-9368
Phone (740) 398-9313

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
I20240102001939 OH Practitioner - Nurse Practitioner 5193171791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox County General Health DistrictGroup PAC ID 8820078595, 8 clinicians

Practice addresses (Care Compare)

11660 Upper Gilchrist Rd
Mount Vernon, OH 43050-9084
Phone (740) 399-8001

Hospital & facility affiliations

  • Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033368OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knox County General Health District CurrentSince Nov 1, 2023 Accepting new patients
Knox County General Health District Current Accepting new patients
Knox County General Health District CurrentSince Nov 1, 2023 Accepting new patients
Knox Community Hospital Past Accepting new patients
Knox County General Health District Past Accepting new patients
Knox County General Health District Past Accepting new patients

Locations

202 W Vine St
Mount Vernon, OH 43050
Phone (740) 399-8008

207 W High St
Ste A
Mount Vernon, OH 43050

206 S Mulberry St
Ste C
Mount Vernon, OH 43050
Phone (740) 399-3008

11660 Upper Gilchrist Rd
Mount Vernon, OH 43050
Phone (740) 392-2200

Interoperability endpoints

  • Direct secure messaging: paige.cunningham@kcchc.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1619651668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21220 ZOLMAN RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430199368",
            "telephone_number": "740-398-9313",
            "fax_number": "740-399-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 UPPER GILCHRIST RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509084",
            "telephone_number": "740-399-8008",
            "fax_number": "740-399-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "PAIGE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.