Individual provider Active NPI

Arica Lynnette Reeves, NP

  • Family Nurse Practitioner
  • Crooksville, OH
National Provider Identifier
1891081998
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12622 Issued in OH
Practice address
712 China St
Crooksville, OH 43731-1124
Phone
(740) 697-0173
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 12622 OH Primary

Addresses

Primary practice location

712 China St
Crooksville, OH 43731-1124

Mailing address

11425 Wesley Chapel Rd
Roseville, OH 43777-9604

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
I20111015000063 OH Practitioner - Nurse Practitioner 0244402360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Drive Inn Medical PracticeGroup PAC ID 8224493168, 2 clinicians

Practice addresses (Care Compare)

10825 Township Rd
Suite 49
Mount Perry, OH 43760-9779
Phone (740) 221-6550

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12622OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Country Drive Inn Medical Practice CurrentSince May 11, 2022 Accepting new patients
Zanesville Chiropractic, Inc CurrentSince Sep 1, 2018 Accepting new patients
Country Drive Inn Medical Practice Family CurrentSince Jan 19, 2023 Accepting new patients
Crooksville Family Clinic Past Accepting new patients

Locations

10825 Township Road 49
Mount Perry, OH 43760
Phone (740) 221-6550

1400 Brandywine Blvd
Zanesville, OH 43701
Phone (740) 450-9000

Interoperability endpoints

  • Direct secure messaging: arica.reeves.1@27436.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Country Drive Inn Medical PracticeMount Perry, OH, CCN 363881 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
May 11, 2022
May 11, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 5

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1891081998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 WESLEY CHAPEL RD",
            "city": "ROSEVILLE",
            "state": "OH",
            "postal_code": "437779604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CHINA ST",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437311124",
            "telephone_number": "740-697-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "ARICA",
        "middle_name": "LYNNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crooksville, OH

Sources for this page

Verify at the official NPI Registry.