Individual provider Active NPI

Dawne Hamilton

  • Family Nurse Practitioner
  • West Union, OH
National Provider Identifier
1629449517
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18276-NP Issued in OH
Practice address
560 Rice Dr
West Union, OH 45693-9024
Phone
(937) 544-5547
Fax
(937) 544-3035
NPI assigned
Oct 18, 2015
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 COA.18276-NP OH Primary

Addresses

Primary practice location

560 Rice Dr
West Union, OH 45693-9024

Mailing address

560 Rice Dr
West Union, OH 45693-9024
Phone (937) 544-5547

Other identifiers 1

IdentifierTypeStateIssuer
0148002MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151123000782 OH Practitioner - Nurse Practitioner 9436459575 Reassigns benefits to 1 organization
I20170711001537 KY Practitioner - Nurse Practitioner 9436459575 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince May 10, 2017 Accepting new patients
Meadowview Physician Practice LLC CurrentSince Sep 10, 2018 Accepting new patients
Bourbon Physician Practice LLC Family Current Accepting new patients
Summit Medical Group, Inc CurrentSince May 10, 2017 Accepting new patients
Meadowview Physician Practice, LLC Current Accepting new patients
Epmg of Ohio Inc P a CurrentSince Apr 5, 2016 Accepting new patients
Meadowview Physician Practice LLC CurrentSince Sep 10, 2018 Accepting new patients
Bourbon Physician Practice LLC CurrentSince Apr 23, 2019 Accepting new patients
Bourbon Physician Practice LLC Family Past Accepting new patients

Locations

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

525 Tucker Dr
Maysville, KY 41056
Phone (606) 759-0002

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

22 Clinic Dr
Paris, KY 40361
Phone (859) 987-0074

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1629449517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RICE DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939024",
            "telephone_number": "937-544-5547",
            "fax_number": "937-544-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RICE DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939024",
            "telephone_number": "937-544-5547",
            "fax_number": "937-544-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DAWNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18276-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

Verify at the official NPI Registry.