Individual provider Active NPI

Rhonda L Mickna, MSN, AGNP-C

  • Gerontology Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1801289012
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRNCNP0040912 Issued in OH
Practice address
8046 Cleveland Rd
Wooster, OH 44691-7702
Phone
(330) 347-3685
NPI assigned
Mar 12, 2015
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRNCNP0040912 OH Primary
Registered Nurse 163W00000X RN.411834 OH

Addresses

Primary practice location

8046 Cleveland Rd
Wooster, OH 44691-7702

Mailing address

8046 Cleveland Rd
Wooster, OH 44691-7702
Phone (330) 347-3685

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
I20260518003290 OH Practitioner - Nurse Practitioner 1658840707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Pinnacle Care Providers, LLCGroup PAC ID 1850437948, 40 clinicians

Practice addresses (Care Compare)

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

5511 Fishcreek Rd
Stow, OH 44224-1435
Phone (330) 342-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN.411834OHMDRegistered Nurse
APRNCNP0040912OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remembrance Hospice LLC CurrentSince Nov 30, 2025 Accepting new patients

Locations

3725 Medina Rd
Ste 113
Medina, OH 44256
Phone (330) 958-0010

Organizations & group practices 4

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": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1801289012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917702",
            "telephone_number": "330-347-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8046 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917702",
            "telephone_number": "330-347-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKNA",
        "first_name": "RHONDA",
        "middle_name": "L",
        "credential": "MSN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRNCNP0040912",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.411834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.