Individual provider Active NPI

Carrese Nicole Stevens

  • Family Nurse Practitioner
  • Washington Court House, OH
National Provider Identifier
1740905371
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032663 Issued in OH
Practice address
2343 Rockbridge Rd
Washington Court House, OH 43160-9722
Phone
(614) 562-3461
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.347254 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0032663 OH Primary

Addresses

Primary practice location

2343 Rockbridge Rd
Washington Court House, OH 43160-9722

Mailing address

2343 Rockbridge Rd
Washington Court House, OH 43160-9722
Phone (614) 562-3461

Other practice location 1

151 Jamison Rd. SW
Washington Court House, OH 43160
Phone (740) 779-7813

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

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
I20230119002438 OH Practitioner - Nurse Practitioner 6305217886 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.347254OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Jan 9, 2023 Accepting new patients

Locations

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

55 Centennial Blvd
Chillicothe, OH 45601
Phone (740) 779-4000

151 Jamison Rd NW
Washington Court House, OH 43160
Phone (740) 779-7813

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: cstevens1061990@direct.osumc.edu

Organizations & group practices 1

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1740905371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 ROCKBRIDGE RD",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609722",
            "telephone_number": "614-562-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 ROCKBRIDGE RD",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609722",
            "telephone_number": "614-562-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Jamison Rd. SW",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "43160",
            "country_code": "US",
            "telephone_number": "740-779-7813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CARRESE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.347254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "151 Jamison Rd. SW",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.