Individual provider Active NPI

Joan Susan Wahl, CNP, APRN

  • Family Nurse Practitioner
  • Batavia, OH
National Provider Identifier
1720453392
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.18334 Issued in OH
Practice address
1100 Hospital Dr
Batavia, OH 45103-1920
Phone
(513) 834-7063
NPI assigned
Dec 8, 2015
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009874 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.18334 OH Primary

Addresses

Primary practice location

1100 Hospital Dr
Batavia, OH 45103-1920

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

6722 State Route 132 Ste A
Goshen, OH 45122-9346
Phone (513) 575-7879

Other practice location 2

446 Morgan St
Cincinnati, OH 45206-2348
Phone (833) 510-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160105001672 OH Practitioner - Nurse Practitioner 8426350612 Reassigns benefits to 3 organizations
I20161207002777 KY Practitioner - Nurse Practitioner 8426350612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

446 Morgan St
Cincinnati, OH 45206-2348
Phone (833) 510-4357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009874KYMDFamily Nurse Practitioner
APRN.CNP.18334OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Ohio, LLC CurrentSince Apr 4, 2016 Accepting new patients
Nautilus Health Care Group, PLC CurrentSince Oct 23, 2016 Accepting new patients
Brightview, LLC CurrentSince Aug 29, 2022 Accepting new patients
Brightview LLC CurrentSince Aug 29, 2022 Accepting new patients
Three Waters Recovery Center, LLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

1090 Hospital Dr
Batavia, OH 45103
Phone (513) 732-2300

1100 Hospital Dr
Batavia, OH 45103
Phone (513) 732-6001

446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

5108 Sandy Ln
Fairfield, OH 45014
Phone (513) 234-5959

1010 Cereal Ave
Hamilton, OH 45013
Phone (513) 281-8827

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

485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1720453392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031920",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6722 State Route 132 Ste A",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "OH",
            "postal_code": "451229346",
            "country_code": "US",
            "telephone_number": "513-575-7879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 Morgan St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452062348",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHL",
        "first_name": "JOAN",
        "middle_name": "SUSAN",
        "credential": "CNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.