NPIMap

Organization Active NPI

Cornerstone Nurse Practitioners of Ohio LLC

  • Nurse Practitioner
  • Wakeman, OH
National Provider Identifier
1922698356
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CORNERSTONE NURSE PRACTITIONERS OF OHIO LLC
Practice address
56 E Main St
Wakeman, OH 44889-9492
Phone
(440) 308-0025
NPI assigned
Jan 20, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Chad Duchette
Title
Owner
Phone
(440) 308-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

56 E Main St
Wakeman, OH 44889-9492

Mailing address

PO Box 6243
Wheeling, WV 26003-0722
Phone (304) 242-7106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210406000711 OH Part B Supplier - Clinic/Group Practice 0840607008 Receives reassigned benefits from 32 practitioners
Practice locations: Cincinnati, OH; Newark, OH; Hilliard, OH; Centerville, OH; Batavia, OH; Ashtabula, OH

National Provider Directory

National Provider Directory

Locations

219 Hunsford St
Cincinnati, OH 45216
Phone (513) 761-4943

8250 Monon Ave
Cincinnati, OH 45216
Phone (513) 297-3924

8320 Woodbine Ave
Cincinnati, OH 45216
Phone (513) 761-4943

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1922698356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6243",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E MAIN ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899492",
            "telephone_number": "440-308-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE NURSE PRACTITIONERS OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "DUCHETTE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-308-0025"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.