Individual provider Active NPI

Morgan Andrea Pennekamp, APRN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1679226542
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030622 Issued in OH
Practice address
6700 Home City Ave
Cincinnati, OH 45233-1119
Phone
(513) 363-5170
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 APRN.CNP.0030622 OH Primary

Addresses

Primary practice location

6700 Home City Ave
Cincinnati, OH 45233-1119

Mailing address

6700 Home City Ave
Cincinnati, OH 45233-1119
Phone (513) 363-5170

Other practice location 1

3636 Springdale Rd
Cincinnati, OH 45251-1407
Phone (513) 639-9900

Other identifiers 3

IdentifierTypeStateIssuer
APRN.CNP.0030622OtherOHOHIO BOARD OF NURSING
1157049OtherKYKENTUCKY BOARD OF NURSING
405093OtherOHOHIO BOARD OF NURSING

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
I20220302000317 OH Practitioner - Nurse Practitioner 1658765987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2620 Elm Hill Pike
Nashville, TN 37214-3108

300 High St FL
Suite 3
Hamilton, OH 45011-6078

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Nurse Practitioner CurrentSince Dec 29, 2023 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Mar 2, 2022 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Dec 29, 2023 Accepting new patients

Locations

5310 Rapid Run Rd
Ste 201
Cincinnati, OH 45238

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

6700 Home City Ave
Cincinnati, OH 45233
Phone (513) 363-5100

3636 Springdale Rd
Cincinnati, OH 45251
Phone (513) 639-9920

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

9860 West Rd
Harrison, OH 45030
Phone (513) 367-4169

Interoperability endpoints

  • Direct secure messaging: mpnnekamp2486372@direct.bsmhealth.org
  • Direct secure messaging: morgan.pennekamp@krogerhealth.eclinicaldirectplus.com

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 2

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1679226542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 HOME CITY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331119",
            "telephone_number": "513-363-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 HOME CITY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331119",
            "telephone_number": "513-363-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 Springdale Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452511407",
            "country_code": "US",
            "telephone_number": "513-639-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNEKAMP",
        "first_name": "MORGAN",
        "middle_name": "ANDREA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRN.CNP.0030622",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF NURSING",
            "identifier": "1157049",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "405093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.