Individual provider Active NPI

Nancy Lynn Hogan, CNP

  • Family Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1831154038
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.05741 Issued in OH
Practice address
9000 N Main St Ste 321
Englewood, OH 45415-1185
Phone
(937) 836-0500
Fax
(937) 836-0636
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 APRN.CNP.05741 OH Primary

Addresses

Primary practice location

9000 N Main St Ste 321
Englewood, OH 45415-1185

Mailing address

7185 Dayton Springfield Rd
Enon, OH 45323-1442
Phone (937) 863-0083

Other practice location 1

4244 Indian Ripple Rd Ste 300
Dayton, OH 45440-3280
Phone (937) 429-0674

Other practice location 2

7185 Dayton Springfield Rd
Enon, OH 45323-1467
Phone (937) 863-0083

Other identifiers 1

IdentifierTypeStateIssuer
2263750MedicaidOH

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
I20051014000107 OH Practitioner - Nurse Practitioner 2860417235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Leo Dermatology, LLCGroup PAC ID 5991932709, 3 clinicians
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

7185 Dayton Springfield Rd
Enon, OH 45323-1442
Phone (937) 836-0083

9000 N Main St
Suite 321
Englewood, OH 45415-1185
Phone (937) 836-0500

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.05741OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. CurrentSince May 4, 2026 Accepting new patients
The Dermatology Group, Inc CurrentSince Apr 30, 2019 Accepting new patients

Locations

9403 Kenwood Rd
Ste B100
Blue Ash, OH 45242
Phone (513) 891-8045

1 Aviation Way
Cincinnati, OH 45215
Phone (513) 243-2946

6507 Harrison Ave
Unit I
Cincinnati, OH 45247

4000 Smith Rd
Ste 210
Cincinnati, OH 45209

4244 Indian Ripple Rd
Ste 300
Dayton, OH 45440
Phone (937) 427-0815

9000 N Main St
Ste 321
Englewood, OH 45415
Phone (937) 236-0500

5298 Socialville Foster Rd
Mason, OH 45040
Phone (513) 770-0953

36 Remick Blvd
Springboro, OH 45066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nancy.hogan.1@6567.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1831154038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 DAYTON SPRINGFIELD RD",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453231442",
            "telephone_number": "937-863-0083",
            "fax_number": "937-863-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST STE 321",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151185",
            "telephone_number": "937-836-0500",
            "fax_number": "937-836-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4244 Indian Ripple Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454403280",
            "country_code": "US",
            "telephone_number": "937-429-0674",
            "fax_number": "937-429-0956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7185 Dayton Springfield Rd",
            "address_purpose": "LOCATION",
            "city": "Enon",
            "state": "OH",
            "postal_code": "453231467",
            "country_code": "US",
            "telephone_number": "937-863-0083",
            "fax_number": "937-863-0272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.05741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.