Individual provider Active NPI

Angela D Alston, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1730356536
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
NP-09155 Issued in OH
Practice address
393 E Town St
Suite 226
Columbus, OH 43215
Phone
(614) 566-9989
Fax
(614) 566-8423
NPI assigned
May 12, 2008
Last updated
May 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP-09155 OH Primary

Addresses

Primary practice location

393 E Town St
Suite 226
Columbus, OH 43215

Mailing address

677 Cooper Rd
Westerville, OH 43081-8962
Phone (614) 776-4379

Other identifiers 1

IdentifierTypeStateIssuer
2873234MedicaidOH

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
I20080603000307 OH Practitioner - Nurse Practitioner 5193895191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maternohio Clinical Associates LLCGroup PAC ID 4587695192, 56 clinicians

Practice addresses (Care Compare)

1315 W Lane Ave
Suite D
Columbus, OH 43221-3544
Phone (614) 457-4827

460 Polaris Pkwy
Suite 210
Westerville, OH 43082-8213
Phone (614) 459-1000

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-09155OHMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maternohio Clinical Associates LLC CurrentSince May 18, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 22, 2010 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 22, 2010 Accepting new patients

Locations

1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

393 E Town St
Ste 226
Columbus, OH 43215
Phone (614) 566-9037

Dept L3652
Columbus, OH 43260

460 Polaris Pkwy
Ste 210
Westerville, OH 43082
Phone (614) 459-1000

Interoperability endpoints

  • Direct secure messaging: angela.alston.p9@direct.maternohio.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1730356536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 COOPER RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818962",
            "telephone_number": "614-776-4379",
            "fax_number": "614-569-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E TOWN ST",
            "address_2": "SUITE 226",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-566-9989",
            "fax_number": "614-566-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "NP-09155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2873234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.