NATIONAL CHURCH RESIDENCES MEDICAL HOME
NPI 1154692838
Family Medicine - Adult Medicine in Columbus, OH

Active since January 26, 2012
398 S GRANT AVE, COLUMBUS, OH 43215(614) 224-2988(614) 716-0902 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2025, Feb 9, 2022, Jul 8, 2019 (3 updates tracked since 2019).

About National Church Residences Medical Home NPPES

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

NATIONAL CHURCH RESIDENCES MEDICAL HOME (NPI 1154692838) is a healthcare organization registered as an adult medicine in Columbus, Ohio and active in the NPI registry since January 2012. The organization lists Brianna Mettler, President, as its authorized official.

NPPES Registry Identity

NPI1154692838
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameNATIONAL CHURCH RESIDENCES MEDICAL HOME
Location Address398 S GRANT AVEColumbus, OH 43215-5549
Mailing Address5475 Rings Rd Ste 300Dublin, OH 43017-7537 · (614) 451-2151 · Fax (614) 451-0351
Fax(614) 716-0902
Organization SubpartNo
Authorized OfficialBrianna MettlerPresident · (614) 451-2151
Enumeration DateJanuary 26, 2012
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1154692838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in OH · NP07477
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
398 S GRANT AVE, Columbus, OH 43215

Other Identifiers 1

Medicaid0062203OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

National Church Residences Medical Home is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to National Church Residences Medical Home, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Clinical Social Worker
NPI 1912893900
1638 PEMBROKE AVE
Columbus, OH 43203
(614) 323-6390
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1346689254
1144 DUBLIN RD
Columbus, OH 43215
(614) 234-0200
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1124228226
3349 E LIVINGSTON AVE
Columbus, OH 43227
(614) 245-9159
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1114358231
3525 OLENTANGY RIVER RD STE 4330
Columbus, OH 43214
(614) 255-6900
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1205136207
2245 N BANK DR
Columbus, OH 43220
(614) 593-2344
✔ PECOS✔ Accepts Medicare8.5 mi
Nurse Practitioner
NPI 1861310591
5475 RINGS RD
Dublin, OH 43017
(614) 457-6590
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1891743449
117 LAZELLE RD E #B
Columbus, OH 43235
(614) 885-3338
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1881150100
835 W EMMITT AVE
Waverly, OH 45690
(740) 947-7662
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1497351993
835 W EMMITT AVE
Waverly, OH 45690
(740) 947-7662
✔ PECOS✔ Accepts Medicare58 mi

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

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 National Church Residences Medical Home's NPI number?

The NPI number for National Church Residences Medical Home is 1154692838. It was assigned to this organization in the NPPES registry on January 26, 2012.

Where is National Church Residences Medical Home located?

National Church Residences Medical Home is located at 398 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 224-2988.

What is National Church Residences Medical Home's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is National Church Residences Medical Home enrolled in Medicare?

Yes. National Church Residences Medical Home is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through National Church Residences Medical Home?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to National Church Residences Medical Home. A 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 the clinician's services. The largest specialties are Nurse Practitioner (8) and Clinical Social Worker (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does National Church Residences Medical Home accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list National Church Residences Medical Home 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 National Church Residences Medical Home was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.