Individual provider Active NPI

Hillina Habteselassie, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1871114157
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028732 Issued in OH
Practice address
2489 Stelzer Rd Ste 101
Columbus, OH 43219-4007
Phone
(614) 473-1300
Fax
(614) 473-0722
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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.0028732 OH Primary

Addresses

Primary practice location

2489 Stelzer Rd Ste 101
Columbus, OH 43219-4007

Mailing address

2489 Stelzer Rd Ste 101
Columbus, OH 43219-4007
Phone (614) 473-1300

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
I20221003000269 OH Practitioner - Nurse Practitioner 6800272600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2489 Stelzer Rd
Suite 101
Columbus, OH 43219-4007
Phone (614) 473-1300

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028732OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jul 29, 2022 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family CurrentSince Jul 29, 2022 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

2489 Stelzer Rd
Ste 101
Columbus, OH 43219
Phone (614) 473-1300

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: hhabteselassie19257@copcp.medicity.net

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1871114157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 STELZER RD STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432194007",
            "telephone_number": "614-473-1300",
            "fax_number": "614-473-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 STELZER RD STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432194007",
            "telephone_number": "614-473-1300",
            "fax_number": "614-473-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTESELASSIE",
        "first_name": "HILLINA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.