Individual provider Active NPI

Hannibal Awungnjia, APRN.CNP

  • Primary Care Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1760749543
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.0034725 Issued in OH
Practice address
12203 Taylors Way
Pickerington, OH 43147-9964
Phone
(202) 683-0612
NPI assigned
Apr 18, 2012
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 APRN.CNP.0034725 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0034725 OH Primary

Addresses

Primary practice location

12203 Taylors Way
Pickerington, OH 43147-9964

Mailing address

12203 Taylors Way
Pickerington, OH 43147-9964
Phone (202) 683-0612

Other names 1

  • Hannibal Awungnjia Other name

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
I20240626004348 OH Practitioner - Nurse Practitioner 0749724185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Apr 11, 2025 Accepting new patients
Signify Health, LLC CurrentSince May 1, 2024 Accepting new patients
A & L Reliable Healthcare Services, LLC Current Accepting new patients
Pureminds Medical and Psychiatric Health LLC Current Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2820 Greenacre Dr
Findlay, OH 45840
Phone (419) 408-9058

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, 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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1760749543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12203 TAYLORS WAY",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479964",
            "telephone_number": "202-683-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12203 TAYLORS WAY",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479964",
            "telephone_number": "202-683-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUNGNJIA",
        "first_name": "HANNIBAL",
        "credential": "APRN.CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034725",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0034725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNIBAL",
            "last_name": "AWUNGNJIA",
            "credential": "APRN.CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.