Individual provider Active NPI

Peyton Dennison, CNP, RN

  • Family Nurse Practitioner
  • Mansfield, OH
National Provider Identifier
1770138208
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025293 Issued in OH
Practice address
580 Park Ave W
Mansfield, OH 44906-3722
Phone
(513) 834-7063
NPI assigned
Aug 1, 2019
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 APRN.CNP.025293 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.025293 OH Primary

Addresses

Primary practice location

580 Park Ave W
Mansfield, OH 44906-3722

Mailing address

700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 462-3485

Other practice location 1

1065 Delaware Ave. Ste. A
Marion, OH 43302
Phone (740) 387-7246 ext. 8

Other practice location 2

139 Gaius St
Bucyrus, OH 44820-1508
Phone (419) 563-9855

Other practice location 3

140 Hill St
Bucyrus, OH 44820-1566
Phone (419) 563-3247

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
I20200728003982 OH Practitioner - Nurse Practitioner 3779908488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Galion Community HospitalGroup PAC ID 5496737439, shared by 17 NPIs, 40 clinicians

Practice addresses (Care Compare)

139 Gaius St
Bucyrus, OH 44820-1508
Phone (419) 533-9855

140 Hill St
Suite B
Bucyrus, OH 44820-1566
Phone (419) 562-5281

269 Portland Way S
Galion, OH 44833-2312

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Pain Center, LLC CurrentSince Apr 25, 2020 Accepting new patients
Marion Pain Center, LLC CurrentSince Apr 25, 2020 Accepting new patients
Brightview, LLC CurrentSince Sep 20, 2021 Accepting new patients
Brightview LLC CurrentSince Sep 20, 2021 Accepting new patients
BKC Pain Specialists, LLC Past Accepting new patients

Locations

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

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

115 S Wooster Ave
Dover, OH 44622
Phone (330) 365-2135

580 Park Ave W
Mansfield, OH 44906
Phone (888) 501-9865

1065 Delaware Ave
Ste A
Marion, OH 43302
Phone (614) 568-4646

1445 W Main St
Newark, OH 43055
Phone (740) 788-0239

3768 E Main St
Whitehall, OH 43213
Phone (614) 972-6757

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: pfeeney1121539@direct.osumc.edu

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.

Hospital & facility affiliations 2

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1770138208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455",
            "telephone_number": "419-462-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063722",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 Delaware Ave. Ste. A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "43302",
            "country_code": "US",
            "telephone_number": "740-387-7246 x8",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Gaius St",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201508",
            "country_code": "US",
            "telephone_number": "419-563-9855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Hill St",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201566",
            "country_code": "US",
            "telephone_number": "419-563-3247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "PEYTON",
        "credential": "CNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025293",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.