Individual provider Active NPI

Karin Elaine Anderson, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1871862359
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.10409-NP Issued in OH
Practice address
5212 W Broad St
Columbus, OH 43228-1642
Phone
(614) 878-0600
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.10409-NP OH Primary

Addresses

Primary practice location

5212 W Broad St
Columbus, OH 43228-1642

Mailing address

5212 W Broad St
Columbus, OH 43228-1642
Phone (614) 878-0600

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
I20151016000968 OH Practitioner - Nurse Practitioner 5597074450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

Practice addresses (Care Compare)

2680 W Broad St
Columbus, OH 43204-3332
Phone (614) 360-2900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.10409-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Outreach Wellness Center CurrentSince Oct 1, 2022 Accepting new patients
Cosmopolitan Dermatology, Inc. PastSince Jun 1, 2017 Accepting new patients

Locations

2323 Lee Rd
Cleveland Hts, OH 44118
Phone (216) 235-0408

2680 W Broad St
Columbus, OH 43204
Phone (614) 274-2020

Interoperability endpoints

  • Direct secure messaging: kanderson246091@direct.ochin.org
  • Direct secure messaging: kanderson656360@direct.ochin.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1871862359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281642",
            "telephone_number": "614-878-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281642",
            "telephone_number": "614-878-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KARIN",
        "middle_name": "ELAINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.10409-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.