Active NPI
Andrea Nicole Naegele, FNP-C
- Family Nurse Practitioner
- Beavercreek, OH
National Provider Identifier
1972182863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0028632
- Practice address
- 725 University Blvd
Beavercreek, OH 45324-2640 - Phone
- (937) 245-7200
- NPI assigned
- Apr 7, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LE00036103 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0028632 | OH | Primary |
Addresses
Primary practice location
725 University Blvd
Beavercreek, OH 45324-2640
Mailing address
312 W Columbus St
West Liberty, OH 43357-9232
Phone (937) 605-4928
Other practice location 1
7760 W VOA Park Dr
West Chester Twp, OH 45069-4506
Phone (513) 563-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0442755 | Medicaid | OH |
Other names 1
- Ms. Andrea Nicole Naegele
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dayton | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260330000017 | OH | Order and Referring Only - Nurse Practitioner | 3577962729 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12 Cadillac Dr
Suite 300
Brentwood, TN 37027-5272
312 W Columbus St
West Liberty, OH 43357-9232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE00036103 | OH | MD | Family Medicine Physician |
| APRN.CNP.0028632 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Hospital Care Group, P.C. | Family Medicine | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1972182863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 W COLUMBUS ST",
"city": "WEST LIBERTY",
"state": "OH",
"postal_code": "433579232",
"telephone_number": "937-605-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 UNIVERSITY BLVD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "453242640",
"telephone_number": "937-245-7200"
}
],
"practiceLocations": [
{
"address_1": "7760 W VOA Park Dr",
"address_purpose": "LOCATION",
"city": "West Chester Twp",
"state": "OH",
"postal_code": "450694506",
"country_code": "US",
"telephone_number": "513-563-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAEGELE",
"first_name": "ANDREA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "LE00036103",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0028632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0442755",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dayton",
"affiliation": "N",
"endpointDescription": "computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "725 University Blvd",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "453242640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "NAEGELE",
"middle_name": "NICOLE",
"prefix": "MS.",
"credential": "FNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.