Individual provider Active NPI

Gina Louise Roach, BC-FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1780105650
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020165 Issued in OH
Practice address
6001 E Broad St
Columbus, OH 43213-1502
Phone
(330) 907-7264
NPI assigned
Jun 30, 2017
Last updated
Jun 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020165 OH Primary

Addresses

Primary practice location

6001 E Broad St
Columbus, OH 43213-1502

Mailing address

1981 Sunny Rock LN
Grove City, OH 43123-8385
Phone (330) 907-7264

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
I20180502001579 OH Practitioner - Nurse Practitioner 3375807167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020165OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc CurrentSince May 15, 2018 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince May 15, 2018 Accepting new patients

Locations

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

3667 Marlane Dr
Grove City, OH 43123
Phone (614) 277-9631

6024 Hoover Rd
Ste A
Grove City, OH 43123
Phone (614) 777-5700

6024 Hoover Rd
Ste G
Grove City, OH 43123
Phone (614) 324-9090

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Organizations & group practices 2

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 3

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1780105650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 SUNNY ROCK LN",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238385",
            "telephone_number": "330-907-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131502",
            "telephone_number": "330-907-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "GINA",
        "middle_name": "LOUISE",
        "credential": "BC-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.