Individual provider Active NPI

Christine Radivoj, FNP-BC

  • Family Nurse Practitioner
  • Wintersville, OH
National Provider Identifier
1902233752
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15254 Issued in OH
Practice address
148 Main St
Wintersville, OH 43953-3734
Phone
(740) 346-2702
Fax
(740) 346-2645
NPI assigned
Oct 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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.15254 OH Primary

Addresses

Primary practice location

148 Main St
Wintersville, OH 43953-3734

Mailing address

148 Main St
Wintersville, OH 43953-3734
Phone (740) 346-2702

Other practice location 1

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8067

Other identifiers 2

IdentifierTypeStateIssuer
3810027213MedicaidWV
0093948MedicaidOH

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
I20140103000490 OH Practitioner - Nurse Practitioner 2163650748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Trinity Hospital Holding CompanyGroup PAC ID 0244123834, 38 clinicians
Columbiana Emergency Physicians LLCGroup PAC ID 9830437508, 10 clinicians

Practice addresses (Care Compare)

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8110

Merit-based Incentive Payment System (MIPS)

Final score
97.27 of 100Reported as group
Improvement activities
40
Cost
83.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15254OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Hospital Holding Company CurrentSince Feb 1, 2014 Accepting new patients
Columbiana Emergency Physicians LLC CurrentSince Oct 12, 2022 Accepting new patients
Trinity Hospital Holding Company CurrentSince Feb 1, 2014 Accepting new patients

Locations

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

148 Main St
Wintersville, OH 43953
Phone (740) 346-0270

107 Main St
Wintersville, OH 43953
Phone (740) 264-1656

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.

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1902233752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533734",
            "telephone_number": "740-346-2702",
            "fax_number": "740-346-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533734",
            "telephone_number": "740-346-2702",
            "fax_number": "740-346-2645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Johnson Rd",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522364",
            "country_code": "US",
            "telephone_number": "740-264-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADIVOJ",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810027213",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

Verify at the official NPI Registry.