Individual provider Active NPI

Maureen Chinyere Odemena, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1811321441
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14893-NP Issued in OH
Practice address
2300 W Broad St
Columbus, OH 43204-3783
Phone
(614) 645-2300
Fax
(614) 645-2333
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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 COA.14893-NP OH Primary

Addresses

Primary practice location

2300 W Broad St
Columbus, OH 43204-3783

Mailing address

1800 Watermark Dr
Suite 420
Columbus, OH 43215-1048
Phone (614) 645-5500

Other identifiers 1

IdentifierTypeStateIssuer
0104477MedicaidOH

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
I20131101000990 OH Practitioner - Nurse Practitioner 7719112572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12345 Ebright LN
Pickerington, OH 43147-7553

2780 Airport Dr
Suite 100
Columbus, OH 43219-2289

PO Box
Suite 5478
Pawtucket, RI 02862-5478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14893-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Mar 1, 2015 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Heart of Ohio Family Health Centers Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Mar 1, 2015 Accepting new patients
Columbus Neighborhood Health Center, Inc. Family Current Accepting new patients
Heart of Ohio Family Health Centers CurrentSince Apr 1, 2024 Accepting new patients

Locations

3601 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 235-5555

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

L3318
Columbus, OH 43260

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

5969 E Broad St
Ste 300
Columbus, OH 43213
Phone (614) 367-0585

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

2365 Innis Rd
Columbus, OH 43224
Phone (614) 235-5555

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

1800 Watermark Dr
Ste 420
Columbus, OH 43215

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

495 Cooper Rd
Ste 420
Westerville, OH 43081
Phone (614) 235-5555

675 S Yearling Rd
Ste 100
Whitehall, OH 43213
Phone (614) 235-5555

5000 E Main St
Whitehall, OH 43213
Phone (614) 235-5555

Interoperability endpoints

  • Direct secure messaging: modemena1186518@direct.osumc.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1811321441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WATERMARK DR",
            "address_2": "SUITE 420",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151048",
            "telephone_number": "614-645-5500",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043783",
            "telephone_number": "614-645-2300",
            "fax_number": "614-645-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEMENA",
        "first_name": "MAUREEN",
        "middle_name": "CHINYERE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14893-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.