Individual provider Active NPI

Douglas Eppley, NP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1992116065
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15705 Issued in OH
Practice address
4435 Aicholtz Rd Ste 200
Cincinnati, OH 45245-1692
Phone
(513) 947-0400
NPI assigned
May 12, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.15705 OH Primary
Family Health Clinical Nurse Specialist 364SF0001X 15705 OH

Addresses

Primary practice location

4435 Aicholtz Rd Ste 200
Cincinnati, OH 45245-1692

Mailing address

4435 Aicholtz Rd Ste 200
Cincinnati, OH 45245-1692
Phone (513) 947-0400

Other practice location 1

1873 Heidelberg Dr
Loveland, OH 45140-2016
Phone (513) 886-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150331002620 OH Practitioner - Nurse Practitioner 7517284565 Reassigns benefits to 1 organization
I20260506001569 KY Practitioner - Nurse Practitioner 7517284565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Columbus, OH 43235
Phone (614) 523-2155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15705OHMDFamily Nurse Practitioner
15705OHMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jul 25, 2019 Accepting new patients
Vpa PC CurrentSince Jul 25, 2019 Accepting new patients
Vpa PC Current Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

4435 Aicholtz Rd
Ste 200
Cincinnati, OH 45245
Phone (513) 947-0400

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

Interoperability endpoints

  • Direct secure messaging: douglas.eppley.1@32913.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992116065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 AICHOLTZ RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451692",
            "telephone_number": "513-947-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 AICHOLTZ RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451692",
            "telephone_number": "513-947-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 Heidelberg Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451402016",
            "country_code": "US",
            "telephone_number": "513-886-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPPLEY",
        "first_name": "DOUGLAS",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15705",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "OH",
            "license": "15705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.