Individual provider Active NPI

Rebecca B O'Der, C.F.N.P.

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1790873495
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-09097 Issued in OH
Practice address
7545 Beechmont Ave Ste N
Cincinnati, OH 45255-4231
Phone
(513) 232-0011
Fax
(513) 232-8434
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 NP-09097 OH Primary

Addresses

Primary practice location

7545 Beechmont Ave Ste N
Cincinnati, OH 45255-4231

Mailing address

2139 Auburn Ave
Cincinnati, OH 45219-2989
Phone (513) 351-9900

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
I20110415000062 OH Practitioner - Nurse Practitioner 1951585983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

7545 Beechmont Ave
Suite N
Cincinnati, OH 45255-4231
Phone (513) 232-0011

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-09097OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family CurrentSince Aug 1, 2023 Accepting new patients
Stephen M. Berg, M.D. PastSince Mar 2, 2011 Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

7545 Beechmont Ave
Ste N
Cincinnati, OH 45255
Phone (513) 232-0011

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

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.

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1790873495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192989",
            "telephone_number": "513-351-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BEECHMONT AVE STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554231",
            "telephone_number": "513-232-0011",
            "fax_number": "513-232-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DER",
        "first_name": "REBECCA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-09097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.