Individual provider Active NPI

Phyllis J Atkinson, NP

  • Gerontology Nurse Practitioner
  • Maineville, OH
National Provider Identifier
1992849509
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
02537 Issued in OH
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.

Hospital & facility affiliations 9

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

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 3 clinicians

Practice addresses (Care Compare)

954 Sedgefield CT
Maineville, OH 45039-7513
Phone (513) 275-6551

Hospital & facility affiliations

  • Supportive Home Health Home health agency, Cincinnati, OH, CCN 368079
  • Queen City Skilled Care LLC Home health agency, Cincinnati, OH, CCN 369173
  • Buckeye Home Healthcare of Cincinnati LLC Home health agency, Blue Ash, OH, CCN 369151
  • Bethany Village Home Health Care Home health agency, Dayton, OH, CCN 368343
  • Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
  • Hospice of Dayton Hospice, Dayton, OH, CCN 361501
  • Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2861KYMDSpeech-Language Pathologist
02537OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senectum Medical Group LLC Gerontology CurrentSince Jan 8, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Apr 1, 2017 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)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 02537 OH Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
2939477MedicaidOH

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

Verify at the official NPI Registry.