Individual provider Active NPI

Ginger Hacker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1780355503
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0031189 Issued in OH
Practice address
9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone
(513) 229-7585
Fax
(513) 672-0792
NPI assigned
Sep 22, 2021
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0031189 OH Primary
Registered Nurse 163W00000X 398405 OH

Addresses

Primary practice location

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701

Mailing address

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone (513) 229-7585

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
I20220512000559 OH Practitioner - Nurse Practitioner 3274910245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Venvisor Health Ohio LLCGroup PAC ID 1456780824, 12 clinicians
Professional Psychiatric Services, LLCGroup PAC ID 3870512262, 5 clinicians

Practice addresses (Care Compare)

545 Metro PL S
Suite 100
Dublin, OH 43017-5353
Phone (708) 269-1017

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone (513) 229-7585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
398405OHMDRegistered Nurse
0031189OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychiatric Services, LLC CurrentSince Mar 19, 2025 Accepting new patients
Venvisor Health Ohio LLC CurrentSince Mar 20, 2025 Accepting new patients
Professional Psychiatric Services, LLC Past Accepting new patients

Locations

545 Metro Pl S
Ste 100
Dublin, OH 43017
Phone (614) 398-0558

9117 Cincinnati Columbus Rd
#R
West Chester, OH 45069
Phone (513) 229-7585

9117 Columbus Cincinnati Rd
West Chester, OH 45069
Phone (513) 229-7585

Organizations & group practices 3

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1780355503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693701",
            "telephone_number": "513-229-7585",
            "fax_number": "513-672-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693701",
            "telephone_number": "513-229-7585",
            "fax_number": "513-672-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "GINGER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0031189",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "398405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.