Gretchen Elaine Mogle, APRN
Individual provider Active NPI Family Nurse Practitioner · Bellbrook, OH
NPI 1962037382 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1962037382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 026462 (OH)
- Practice address
- 1930 N Lakeman Dr Ste 109
Bellbrook, OH 45305-1200 - Phone
- (937) 203-3079
- Fax
- (937) 886-6609
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Weller Health Transitions
Pai Participant 1 LLC
Practice addresses (Care Compare)
1 Country LN
Brookville, OH 45309-9268
Phone (937) 203-3079
230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470
350 Union Blvd
Englewood, OH 45322-2196
Phone (937) 203-3079
81 S Stanfield Rd
Troy, OH 45373-2337
Phone (937) 203-3079
Hospital & facility affiliations
- Gem City Home Care, LLC
- Madison Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200605000243 | OH | Practitioner - Nurse Practitioner | 4183045891 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026462 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 1 LLC | Current |
Accepting new patients | |
| Weller Health Transitions, LLC | Current |
Accepting new patients |
Locations
1930 N Lakeman Dr
Ste 109
Bellbrook, OH 45305
Phone (937) 203-3079
230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470
4000 Singing Hills Blvd
Dayton, OH 45414
Phone (513) 707-1546
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 026462 | OH | Yes |
Addresses
Primary practice location
1930 N Lakeman Dr Ste 109
Bellbrook, OH 45305-1200
Mailing address
1930 N Lakeman Dr Ste 109
Bellbrook, OH 45305-1200
Phone (937) 203-3079
Other providers in Bellbrook, OH
- Sidra Aghavnie McNeely
- Nicole A Meyer
- Miami Valley Spine and Joint LLC
- Karla Miles
- Cheryl L Minney
- David Michael Moss II
- David Scott Nicholson
- Shelley A Ostdiek
- Crista Osterhage
- Karen Lee Ostrander
All providers in Bellbrook, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.