Alexandra Mae Koehn, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

09759 Issued in OH

Practice address

6331 Glenway Ave
Cincinnati, OH 45211-6301

Phone

(513) 389-1400

Fax

(513) 619-8713

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Providers and Hospitalists IncGroup PAC ID 8022920743, 15 clinicians

Impact Physician Group Ohio LLCGroup PAC ID 6608288162, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 27)

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.

• Geriatric Providers and Hospitalists Inc

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1578687687

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Impact Physician Group, Ohio LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1063078749
  Medicare reassignment Care Compare group NPD
• Midwest Hospitalists, Inc

  • Hospitalist Physician
  • Blue Ash, OH
  • NPI 1356465439
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1861672339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116301",
            "telephone_number": "513-389-1400",
            "fax_number": "513-619-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116301",
            "telephone_number": "513-389-1400",
            "fax_number": "513-619-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "ALEXANDRA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "09759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "09759",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Koe-Krompecher, LISW-S, LICDC
• Elizabeth Koehl
• Sara Koehl
• Abigail Koehler
• Amy Koehler, IBCLC
• Merideth Koehn, D.D.S.
• Sophia Koenderink
• Grace Mary May Koenig
• Jonna Koenig, P.T.
• Jordan Koenig

• Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.

Verify at the official NPI Registry.