Individual provider Active NPI

Anne Marie Petersen, NP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1942350707
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16586 Issued in OH
Practice address
4310 Cooper Rd
Cincinnati, OH 45242-5613
Phone
(513) 246-9799
Fax
(513) 246-9456
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.16586 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.16586 OH Primary
Nurse Practitioner 363L00000X 209.006139 IL

Addresses

Primary practice location

4310 Cooper Rd
Cincinnati, OH 45242-5613

Mailing address

4310 Cooper Rd
Cincinnati, OH 45242-5613
Phone (513) 246-9799

Other practice location 1

6860 Prairie View Dr
Maineville, OH 45039
Phone (708) 890-8907

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
I20180329001630 OH Practitioner - Nurse Practitioner 8426310574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Hospice of Cincinnati IncorporatedGroup PAC ID 3274848171, 27 clinicians

Practice addresses (Care Compare)

4310 Cooper Rd
Cincinnati, OH 45242-5613
Phone (513) 246-9373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.006139ILMDNurse Practitioner
APRN.CNP.16586OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Cincinnati Incorporated CurrentSince Feb 23, 2026 Accepting new patients
Bethesda Hospital Inc Past Accepting new patients

Locations

4310 Cooper Rd
Cincinnati, OH 45242
Phone (513) 246-9373

1010 Eaton Ave
Hamilton, OH 45013
Phone (513) 246-9600

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1942350707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 COOPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425613",
            "telephone_number": "513-246-9799",
            "fax_number": "513-246-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 COOPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425613",
            "telephone_number": "513-246-9799",
            "fax_number": "513-246-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6860 Prairie View Dr",
            "address_purpose": "LOCATION",
            "city": "Maineville",
            "state": "OH",
            "postal_code": "45039",
            "country_code": "US",
            "telephone_number": "708-890-8907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ANNE MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.16586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16586",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.006139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.