Individual provider Active NPI

Renee L Ping, FNP-C

  • Family Nurse Practitioner
  • Blue Ash, OH
National Provider Identifier
1699238006
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024533 Issued in OH
Practice address
10999 Reed Hartman Hwy Ste 215
Blue Ash, OH 45242-8301
Phone
(859) 803-0367
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 024533 OH Primary

Addresses

Primary practice location

10999 Reed Hartman Hwy Ste 215
Blue Ash, OH 45242-8301

Mailing address

4269 Eastlake Dr
Mason, OH 45040-8986
Phone (859) 803-0367

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
I20190524001829 OH Practitioner - Nurse Practitioner 7719220201 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024533OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Single Specialty CurrentSince Jan 25, 2023 Accepting new patients
Midwest Hospitalists, Inc Single Specialty PastSince Aug 15, 2015 Accepting new patients

Locations

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

824 Main St
Milford, OH 45150
Phone (513) 774-5606

Interoperability endpoints

  • Direct secure messaging: rping20941@carelonhealth.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1699238006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 EASTLAKE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408986",
            "telephone_number": "859-803-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY STE 215",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452428301",
            "telephone_number": "859-803-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PING",
        "first_name": "RENEE",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.