Individual provider Active NPI

Vicki S Mohr, CNP

  • Nurse Practitioner
  • Uniontown, OH
National Provider Identifier
1891293502
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022216 Issued in OH
Practice address
12415 Hoover Ave NW
Uniontown, OH 44685-7378
Phone
(330) 546-5015
NPI assigned
Jan 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.022216 OH Primary

Addresses

Primary practice location

12415 Hoover Ave NW
Uniontown, OH 44685-7378

Mailing address

12415 Hoover Ave NW
Uniontown, OH 44685-7378
Phone (305) 465-0153

Other practice location 1

275 E Sunset Dr
Rittman, OH 44270-1165
Phone (240) 686-2300

Other practice location 2

3515 Massillon Rd Ste 250
Uniontown, OH 44685
Phone (330) 896-5651

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
I20190206000242 OH Practitioner - Nurse Practitioner 5991043572 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12415 Hoover Ave NW
Uniontown, OH 44685-7378
Phone (330) 546-5015

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Ohio Inc Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
4M Hospitalist Services, LLC Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
KJC Legacy LLC CurrentSince Dec 15, 2025 Accepting new patients
Venvisor Health Ohio LLC Nurse Practitioner CurrentSince Oct 30, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

3515 Manchester Rd
Ste F
Coventry Township, OH 44319
Phone (330) 599-7316

503 Portage Lakes Dr
Ste 7
Coventry Township, OH 44319
Phone (330) 599-7316

545 Metro Pl S
Ste 100
Dublin, OH 43017
Phone (614) 398-0558

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

1290 Fairchild Ave
Kent, OH 44240
Phone (330) 678-4912

275 E Sunset Dr
Rittman, OH 44270
Phone (330) 927-2060

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.

Hospital & facility affiliations 1

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": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1891293502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 HOOVER AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857378",
            "telephone_number": "305-465-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 HOOVER AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857378",
            "telephone_number": "330-546-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 E Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Rittman",
            "state": "OH",
            "postal_code": "442701165",
            "country_code": "US",
            "telephone_number": "240-686-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Massillon Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "44685",
            "country_code": "US",
            "telephone_number": "330-896-5651",
            "fax_number": "330-896-5685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHR",
        "first_name": "VICKI",
        "middle_name": "S",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.