Active NPI
Monique Charmion Ganucheau, ANP-BC
- Adult Health Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA11137NP
- Practice address
- 800 McConnell Rd
Columbus, OH 43214-3463 - Phone
- (614) 566-5377
- Fax
- (614) 533-6200
- NPI assigned
- Nov 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN340379COA1 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | COA11137NP | OH | Primary |
Addresses
Primary practice location
800 McConnell Rd
Columbus, OH 43214-3463
Mailing address
5350 Frantz Rd
Dublin, OH 43016-4259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3039027 | Medicaid | OH |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
477 Cooper Rd
Suite 300
Westerville, OH 43081-8057
Phone (614) 898-8808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN340379COA1 | OH | MD | Registered Nurse |
| COA11137NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Mount Carmel Health System | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Mount Carmel Health System | Current | Accepting new patients | |
| Osu Internal Medicine, LLC | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
800 McConnell Dr
Columbus, OH 43214
Phone (614) 533-6297
5350 Frantz Rd
Dublin, OH 43016
1130 Independence Ave
Marion, OH 43302
Phone (740) 383-8591
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1457617235
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1740231448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1881921674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 FRANTZ RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MCCONNELL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143463",
"telephone_number": "614-566-5377",
"fax_number": "614-533-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANUCHEAU",
"first_name": "MONIQUE",
"middle_name": "CHARMION",
"name_prefix": "Ms.",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN340379COA1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA11137NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3039027",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.