Individual provider Active NPI

Diane Enzweiler, ARNP

  • Adult Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1760481113
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.04623 Issued in OH
Practice address
3301 Mercy Health Blvd
125
Cincinnati, OH 45211-1105
Phone
(513) 215-9200
Fax
(513) 215-9259
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3001921 KY
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.04623 OH Primary

Addresses

Primary practice location

3301 Mercy Health Blvd
125
Cincinnati, OH 45211-1105

Mailing address

3301 Mercy Health Blvd
125
Cincinnati, OH 45211-1105
Phone (513) 215-9200

Other identifiers 3

IdentifierTypeStateIssuer
2993775MedicaidOH
P00920131OtherKYRAILROAD MEDICARE
78192101MedicaidKY

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
I20161221001058 OH Practitioner - Nurse Practitioner 8224224993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3301 Mercy Health Blvd
Suite 125
Cincinnati, OH 45211-1106
Phone (513) 215-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1921KYMDRegistered Dietitian
3001921KYMDNurse Practitioner
APRN.CNP.04623OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jan 1, 2017 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Nurse Practitioner CurrentSince Jan 1, 2017 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Northern Kentucky Heart PSC Nurse Practitioner Past Accepting new patients

Locations

2055 Hospital Dr
Ste 235
Batavia, OH 45103
Phone (513) 732-3100

7502 State Rd
Ste 2210A
Cincinnati, OH 45255
Phone (513) 624-2070

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

3301 Mercy Health Blvd
Ste 125
Cincinnati, OH 45211
Phone (513) 215-9200

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: denzweiler258187@direct.bsmhealth.org

Organizations & group practices 5

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 5

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1760481113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "125",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111105",
            "telephone_number": "513-215-9200",
            "fax_number": "513-215-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "125",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111105",
            "telephone_number": "513-215-9200",
            "fax_number": "513-215-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZWEILER",
        "first_name": "DIANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3001921",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.04623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2993775",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00920131",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78192101",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.