Individual provider Active NPI

Maki Fukunishi, FNP-C

  • Family Nurse Practitioner
  • Blue Ash, OH
National Provider Identifier
1700467867
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028397 Issued in OH
Practice address
4310 Cooper Rd
Blue Ash, OH 45242-5613
Phone
(513) 246-9799
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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.0028397 OH Primary

Addresses

Primary practice location

4310 Cooper Rd
Blue Ash, OH 45242-5613

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964

Other practice location 1

8350 Arbor Square Dr
Mason, OH 45040-5000
Phone (513) 346-3399

Other practice location 2

7991 Beechmont Ave
Cincinnati, OH 45255-3189
Phone (513) 346-3399

Other practice location 3

6139 Glenway Ave
Cincinnati, OH 45211-6312
Phone (513) 346-3399

Other practice location 4

8020 Liberty Way
West Chester, OH 45069-2519
Phone (513) 246-5000

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
I20210601002001 OH Practitioner - Nurse Practitioner 5395144927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Hospice of Cincinnati IncorporatedGroup PAC ID 3274848171, 27 clinicians

Practice addresses (Care Compare)

1010 Eaton Ave
Hamilton, OH 45013-4683
Phone (513) 246-9600

Hospital & facility affiliations

  • Summit Orthopaedic Home Care Home health agency, Blue Ash, OH, CCN 369119
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.71
Promoting interoperability
100
Improvement activities
40
Cost
74.82

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Mar 2, 2022 Accepting new patients
CG Medical Associates Inc CurrentSince May 18, 2021 Accepting new patients
Trihealth G, LLC CurrentSince Oct 25, 2021 Accepting new patients
Hospice of Cincinnati Incorporated CurrentSince Sep 25, 2022 Accepting new patients
Trihealth G LLC CurrentSince Oct 25, 2021 Accepting new patients
Bethesda Hospital Inc Past Accepting new patients

Locations

4310 Cooper Rd
Cincinnati, OH 45242
Phone (513) 246-9373

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

4360 Cooper Rd
Cincinnati, OH 45242
Phone (513) 769-4408

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

6139 Glenway Ave
Cincinnati, OH 45211
Phone (513) 346-3399

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

7991 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 346-3399

1010 Eaton Ave
Hamilton, OH 45013
Phone (513) 246-9600

8350 Arbor Square Dr
Mason, OH 45040
Phone (513) 346-3399

12065 Montgomery Rd
Montgomery, OH 45249
Phone (513) 271-1578

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300

Interoperability endpoints

  • Direct secure messaging: mfukunishi348913@direct.trihealth.com

Organizations & group practices 6

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1700467867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-246-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 COOPER RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425613",
            "telephone_number": "513-246-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8350 Arbor Square Dr",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450405000",
            "country_code": "US",
            "telephone_number": "513-346-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7991 Beechmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553189",
            "country_code": "US",
            "telephone_number": "513-346-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6139 Glenway Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452116312",
            "country_code": "US",
            "telephone_number": "513-346-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8020 Liberty Way",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692519",
            "country_code": "US",
            "telephone_number": "513-246-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUKUNISHI",
        "first_name": "MAKI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.