Active NPI
Rhonda Gluckner, RN, MSN
- Gerontology Nurse Practitioner
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.025452
- Practice address
- 1001 Covington St
Youngstown, OH 44510-1617 - Phone
- (330) 480-2371
- Fax
- (330) 480-3970
- NPI assigned
- May 10, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | RN.311906 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.025452 | OH | Primary |
Addresses
Primary practice location
1001 Covington St
Youngstown, OH 44510-1617
Mailing address
1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-2371
Other practice location 1
605 Angiline Dr
Boardman, OH 44512-6568
Phone (330) 509-2638
Other practice location 2
76 N Turner Rd
Austintown, OH 44515-2136
Phone (330) 509-2638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0213199 | Medicaid | OH |
Other names 1
- Rhonda Cupan
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-3195
1044 Belmont Ave
Youngstown, OH 44504-1006
410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.311906 | OH | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Nurse Practitioner | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
Interoperability endpoints
- rgluckner37304@direct.bsmhealth.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
Nurse Practitioner
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
Nurse Practitioner
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1982050753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COVINGTON ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-2371",
"fax_number": "330-480-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COVINGTON ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-2371",
"fax_number": "330-480-3970"
}
],
"practiceLocations": [
{
"address_1": "605 Angiline Dr",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "445126568",
"country_code": "US",
"telephone_number": "330-509-2638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "76 N Turner Rd",
"address_purpose": "LOCATION",
"city": "Austintown",
"state": "OH",
"postal_code": "445152136",
"country_code": "US",
"telephone_number": "330-509-2638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLUCKNER",
"first_name": "RHONDA",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OH",
"license": "RN.311906",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.025452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0213199",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RHONDA",
"last_name": "CUPAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.