Individual provider Active NPI

Christine R Ulrich, CNP

  • Family Nurse Practitioner
  • Van Wert, OH
National Provider Identifier
1619955754
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-08410 Issued in OH
Practice address
1198 Westwood Dr Ste F
Van Wert, OH 45891-2478
Phone
(419) 771-1640
Fax
(419) 771-1641
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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 NP-08410 OH Primary

Addresses

Primary practice location

1198 Westwood Dr Ste F
Van Wert, OH 45891-2478

Mailing address

1198 Westwood Dr Ste F
Van Wert, OH 45891-2478
Phone (419) 771-1640

Other identifiers 2

IdentifierTypeStateIssuer
000000376143OtherOHANTHEM
000000377617OtherOHANTHEM

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
I20051013000005 OH Practitioner - Nurse Practitioner 2264457878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Family Practice LLCGroup PAC ID 1052722162, 2 clinicians

Practice addresses (Care Compare)

1198 Westwood Dr
Suite F
Van Wert, OH 45891-2478
Phone (419) 774-1640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-08410OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Family Practice, LLC CurrentSince Oct 19, 2020 Accepting new patients
M E D F Physicians Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1196 Westwood Dr
Ste F
Van Wert, OH 45891

1198 Westwood Dr
Ste F
Van Wert, OH 45891
Phone (419) 771-1640

111 E Main St
Ste 203
Van Wert, OH 45891

Organizations & group practices 3

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 6

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1619955754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 WESTWOOD DR STE F",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912478",
            "telephone_number": "419-771-1640",
            "fax_number": "419-771-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 WESTWOOD DR STE F",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912478",
            "telephone_number": "419-771-1640",
            "fax_number": "419-771-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-08410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000376143",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000377617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.