Individual provider Active NPI

Rita Perrine, AGAC-NP

  • Acute Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1689127029
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
307753 Issued in OH
Practice address
6150 E Broad St
Columbus, OH 43213-1574
Phone
(614) 546-4621
Fax
(614) 546-4536
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 307753 OH
Attendant Care Provider 3747A0650X
Acute Care Nurse Practitioner 363LA2100X 307753 OH Primary

Addresses

Primary practice location

6150 E Broad St
Columbus, OH 43213-1574

Mailing address

7785 Degood Rd
Ostrander, OH 43061-9764
Phone (740) 666-9401

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
I20160929001470 OH Practitioner - Nurse Practitioner 4981991213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4101 Emerald Pkwy
Suite 200
Dublin, OH 43016-3323

4105 Emerald Pkwy
Dublin, OH 43016-3323
Phone (380) 898-9000

5300 N Meadows Dr
Grove City, OH 43123-2546

5300 N Meadows Dr Building
1 Suite 280
Grove City, OH 43123-2546
Phone (614) 627-2000

6001 E Broad St
Mount Carmel Palliative Care
Columbus, OH 43213-1502
Phone (614) 234-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307753OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Oct 17, 2016 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Oct 17, 2016 Accepting new patients

Locations

6150 E Broad St
Rm WD210
Columbus, OH 43213

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

Interoperability endpoints

  • Direct secure messaging: rperrine1147512@direct.trinity-health.org

Organizations & group practices 2

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 3

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1689127029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 DEGOOD RD",
            "city": "OSTRANDER",
            "state": "OH",
            "postal_code": "430619764",
            "telephone_number": "740-666-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131574",
            "telephone_number": "614-546-4621",
            "fax_number": "614-546-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "RITA",
        "credential": "AGAC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "307753",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "307753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.