Justin Paul Momeyer

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0020791 Issued in OH

Practice address

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

Phone

(740) 393-9000

NPI assigned

Mar 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knox Community HospitalGroup PAC ID 1153301833, 117 clinicians

Midwest Physician Anesthesia Services, Inc.Group PAC ID 8921997230, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040
• Grant Medical Center Hospital, Columbus, OH, CCN 360017

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Knox Community Hospital

  • Family Medicine Physician
  • Mount Vernon, OH
  • NPI 1154483022
  Medicare reassignment Care Compare group NPD
• Midwest Physician Anesthesia Services, Inc.

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1598703951

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ohiohealth Corporation

  dba OhioHealth Physician Group, Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• Knox Community Hospital

  dba KCH Northside Pharmacy

  • Community/Retail Pharmacy
  • Mount Vernon, OH
  • NPI 1073351557
  NPD
• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  NPD
• Knox Community Hospital

  dba Knox Community Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Vernon, OH
  • NPI 1366154064
  NPD
• Knox Community Hospital

  • Anesthesiology Physician
  • Mount Vernon, OH
  • NPI 1679626287
  NPD
• Ohiohealth Corporation

  dba OhioHealth Physician Group Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105

  Nurse Anesthetist, Certified Registered

  NPD
• Deperro Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Columbus, OH
  • NPI 1134573496
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation
• Ohiohealth Corporation

  dba Grant Medical Center

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149
  Care Compare affiliation

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1679229629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 MEADOW CHASE DR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430741115",
            "telephone_number": "614-563-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501440",
            "telephone_number": "740-393-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Grant Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154701",
            "country_code": "US",
            "telephone_number": "614-566-9871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143908",
            "country_code": "US",
            "telephone_number": "614-884-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMEYER",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.450251",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "0020791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Mills, LSW
• Karen Devine Minekime, MA CCC-A FAAA
• Vanessa A Mitchell
• Amanda Mitchusson
• Mohican Rehabilitation Services LLC
• Monroe Township Knox County Oh (Monroe Township Fire Department)
• Mirna Monroy-Cubie, COTA/L
• John P Montenery, R.PH.
• Mary Lou Montenery, R.PH.
• Montgomery Eye Care, LLC (Amazing Eyes Family Vision)

• Certified Registered Nurse Anesthetist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.