Active NPI
Nafisa Ibrahim, RN
- Family Nurse Practitioner
- Pataskala, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024746
- Practice address
- 8910 Broad St SW
Pataskala, OH 43062-7886 - Phone
- (740) 927-6705
- Fax
- (740) 964-0036
- NPI assigned
- Oct 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024746 | OH | Primary |
| Registered Nurse | 163W00000X | RN. 353502 | OH |
Addresses
Primary practice location
8910 Broad St SW
Pataskala, OH 43062-7886
Mailing address
2491 Griffin Gate LN Unit 201
Columbus, OH 43219-3919
Phone (614) 209-1268
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1649 Brice Rd
Suite C
Reynoldsburg, OH 43068-2796
Phone (614) 300-5878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN. 353502 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Recovery Center | Current | Accepting new patients | |
| First Step Recovery Center | Current | Accepting new patients | |
| Boulder Care Provider Group PA | Current | Accepting new patients | |
| First Step Recovery Center | Past | Accepting new patients |
Locations
813 Bryden Rd
Columbus, OH 43205
Phone (614) 392-7253
2628 Kull Rd
Lancaster, OH 43130
Phone (614) 300-1878
1271 Crescent Heights Rd
Ste 200
Marion, OH 43302
Phone (614) 808-3192
245 Saint James St
Marion, OH 43302
Phone (740) 341-2067
1563 Brice Rd
Reynoldsburg, OH 43068
1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878
1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878
20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061
111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061
Interoperability endpoints
- nafisa.ibrahim@620407976427524.direct.elationemr.com
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 and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Reynoldsburg, OH
- NPI 1467826453
-
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649838590
OH
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Reynoldsburg, OH
- NPI 1477004810
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Reynoldsburg, OH
- NPI 1700340759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1821323569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2491 GRIFFIN GATE LN UNIT 201",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193919",
"telephone_number": "614-209-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 BROAD ST SW",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627886",
"telephone_number": "740-927-6705",
"fax_number": "740-964-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "NAFISA",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-14",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024746",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN. 353502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pataskala, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.