Active NPI
Phyllis J Atkinson, NP
- Gerontology Nurse Practitioner
- Maineville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 02537
- Practice address
- 954 Sedgefield CT
Maineville, OH 45039-7513 - Phone
- (513) 275-6551
- Fax
- (513) 275-6557
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Maineville, OH
- NPI 1710749114
Gerontology, OH
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Ambulatory Surgical Clinic/Center
- Dayton, OH
- NPI 1649447582
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Washington Court House, OH
- NPI 1508978677
Hospital
-
- Home Health Agency
- Dayton, OH
- NPI 1699879601
-
- Home Health Agency
- Blue Ash, OH
- NPI 1275953713
-
- Home Health Agency
- Dayton, OH
- NPI 1265768956
-
- Home Health Agency
- Cincinnati, OH
- NPI 1629522206
-
- Home Health Agency
- Girard, OH
- NPI 1336128610
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Senectum Medical Group LLC
Practice addresses (Care Compare)
954 Sedgefield CT
Maineville, OH 45039-7513
Phone (513) 275-6551
Hospital & facility affiliations
- Supportive Home Health
- Queen City Skilled Care LLC
- Buckeye Home Healthcare of Cincinnati LLC
- Bethany Village Home Health Care
- Buckeye Home Health Care, LLC
- Hospice of Dayton
- Adena Fayette Medical Center
- Kettering Health Dayton
- Bethesda North
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070402000531 | OH | Practitioner - Nurse Practitioner | 4284738121 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2861 | KY | MD | Speech-Language Pathologist |
| 02537 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senectum Medical Group LLC | Gerontology | Current | Accepting new patients |
| Mills Medical Practices, LLC | Current | Accepting new patients | |
| Wright State Physicians Inc | Past | Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Past | Accepting new patients |
Locations
805 N Whittington Pkwy
Ste 200
Louisville, KY 40222
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868
3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868
4401 Rockside Rd
Ste 214
Independence, OH 44131
Phone (216) 642-1297
30575 Bainbridge Rd
Ste 300
Solon, OH 44139
Phone (216) 800-7137
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 02537 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
954 Sedgefield CT
Maineville, OH 45039-7513
Mailing address
PO Box 1060
Uniontown, OH 44685-1060
Phone (513) 275-6551
Other practice location 1
2114 Chamber Center Dr
Lakeside Park, KY 41017-1669
Phone (513) 878-0907
Other practice location 2
725 University Blvd
Beavercreek, OH 45324-2640
Phone (937) 245-7200
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2939477 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2024.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1992849509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1060",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446851060",
"telephone_number": "513-275-6551",
"fax_number": "513-275-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 SEDGEFIELD CT",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450397513",
"telephone_number": "513-275-6551",
"fax_number": "513-275-6557"
}
],
"practiceLocations": [
{
"address_1": "2114 Chamber Center Dr",
"address_purpose": "LOCATION",
"city": "Lakeside Park",
"state": "KY",
"postal_code": "410171669",
"country_code": "US",
"telephone_number": "513-878-0907",
"fax_number": "513-878-0908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 University Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "453242640",
"country_code": "US",
"telephone_number": "937-245-7200",
"fax_number": "937-245-7999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATKINSON",
"first_name": "PHYLLIS",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "02537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2939477",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maineville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.