MRS. CORETTA STALLWORTH FNP -C
NPI 1073943106
Nurse Practitioner - Family in Cincinnati, OH

Active since November 27, 2013PECOS Enrolled
3333 BURNET AVENUE, MLC 6015, CINCINNATI, OH 45229(513) 636-0800(513) 803-0823 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2021, Nov 12, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

About Mrs. Coretta Stallworth Fnp -c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CORETTA STALLWORTH FNP -C (NPI 1073943106) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (COA-15366-NP) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073943106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CORETTA STALLWORTHCredential: FNP -C
Location Address3333 BURNET AVENUE, MLC 6015Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Avenue, Mlc 6015Cincinnati, OH 45229-3026 · (513) 636-0800 · Fax (513) 803-0823
Fax(513) 803-0823
Sole ProprietorNo
Enumeration DateNovember 27, 2013
Last NPPES UpdateNovember 17, 20215 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1073943106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA-15366-NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.15366 (OH)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License COA 15366 NP (OH)
3333 BURNET AVENUE, Cincinnati, OH 45229

Secondary Practice Locations 2

Location 1234 Goodman St, 3 South, CredentialingCincinnati, OH 45219-2364 · Phone (513) 584-8577 · Fax (513) 584-5618
Location 2560 Wessel DrFairfield, OH 45014-3776 · Phone (513) 454-2084

Other Identifiers 2

Medicaid0098923OH
Other1073943106OH · Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Coretta Stallworth Fnp -c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Coretta Stallworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Emergency Medicine)
3333 BURNET AVENUE, ML 2008
CINCINNATI, OH 45229
Pediatrics (Neonatal-Perinatal Medicine)
3333 BURNET AVENUE, ML 7009
CINCINNATI, OH 45229
Pediatrics (Pediatric Cardiology)
3333 BURNET AVENUE, MLC 2003
CINCINNATI, OH 45229
Nurse Practitioner
3333 BURNET AVENUE, ML 2001
CINCINNATI, OH 45229
Social Worker
3333 BURNET AVENUE, ML 3014
CINCINNATI, OH 45229
Psychologist (Clinical)
3333 BURNET AVENUE, ML 5021
CINCINNATI, OH 45229
Anesthesiology (Pediatric Anesthesiology)
3333 BURNET AVENUE, ML 2001
CINCINNATI, OH 45229
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVENUE, ML 11027
CINCINNATI, OH 45229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coretta Stallworth's NPI number?

The NPI number for Coretta Stallworth is 1073943106. It was assigned to this individual provider in the NPPES registry on November 27, 2013.

Where is Coretta Stallworth located?

Coretta Stallworth practices at 3333 Burnet Avenue Mlc 6015, Cincinnati, OH 45229. The listed phone number is (513) 636-0800.

What is Coretta Stallworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Coretta Stallworth enrolled in Medicare?

Yes. Coretta Stallworth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Coretta Stallworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Coretta Stallworth reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and The Little Clinic Of Ohio LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Coretta Stallworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Coretta Stallworth accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Coretta Stallworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coretta Stallworth was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.