Active NPI
Kennedy Elaine Vercheak
- Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1942919972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AAPRN.CPN.0038252
- Practice address
- 3333 Burnet Ave
Cincinnati, OH 45229-3026 - Phone
- (859) 663-1717
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 258410 | TN | |
| Nurse Practitioner | 363L00000X | AAPRN.CPN.0038252 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
Cincinnati, OH 45229-3026
Mailing address
519 Raymond St
Nashville, TN 37211-2831
Phone (859) 663-1717
Other practice location 1
2200 Childrens Way
Nashville, TN 37232-0005
Phone (615) 936-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258410 | TN | MD | Registered Nurse |
| AAPRN.CPN.0038252 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Nurse Practitioner | Current | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1942919972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 RAYMOND ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112831",
"telephone_number": "859-663-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "859-663-1717"
}
],
"practiceLocations": [
{
"address_1": "2200 Childrens Way",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320005",
"country_code": "US",
"telephone_number": "615-936-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERCHEAK",
"first_name": "KENNEDY",
"middle_name": "ELAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "258410",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "AAPRN.CPN.0038252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.