Individual provider Active NPI

Maggie Ann Berolo, NP

  • Adult Health Nurse Practitioner
  • Covington, KY
National Provider Identifier
1811311897
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306767-1 Issued in NY
Practice address
50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660
Phone
(833) 358-2278
NPI assigned
Feb 11, 2014
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306767-1 NY Primary

Addresses

Primary practice location

50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660

Mailing address

5151 Pfeiffer Rd
Blue Ash, OH 45242-4872
Phone (833) 358-2113

Other practice location 1

5151 Pfeiffer Rd
Blue Ash, OH 45242-4872
Phone (833) 358-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190108001868 OH Practitioner - Nurse Practitioner 3476785338 Reassigns benefits to 1 organization
I20191030003069 KY Practitioner - Nurse Practitioner 3476785338 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306767-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC CurrentSince Aug 1, 2025 Accepting new patients
Summit Medical Group, PLLC PastSince Nov 18, 2018 Accepting new patients

Locations

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: maggie.berolo.1@22854.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1811311897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 PFEIFFER RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424872",
            "telephone_number": "833-358-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E RIVERCENTER BLVD STE 434",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111660",
            "telephone_number": "833-358-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Pfeiffer Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424872",
            "country_code": "US",
            "telephone_number": "833-358-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEROLO",
        "first_name": "MAGGIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.