ALISON MCPHADEN
NPI 1164235263
Nurse Practitioner - Women's Health in Columbus, OH
About Alison Mcphaden NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISON MCPHADEN (NPI 1164235263) is an individual women's health provider in Columbus, Ohio, licensed in Ohio (104999820) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alison Mcphaden is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Alison Mcphaden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 16 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43214
COLUMBUS, OH 43214
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 Alison Mcphaden's NPI number?
The NPI number for Alison Mcphaden is 1164235263. It was assigned to this individual provider in the NPPES registry on January 31, 2025.
Where is Alison Mcphaden located?
Alison Mcphaden practices at 3525 Olentangy River Rd Ste 6350, Columbus, OH 43214. The listed phone number is (614) 734-3347.
What is Alison Mcphaden's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Alison Mcphaden enrolled in Medicare?
Yes. Alison Mcphaden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alison Mcphaden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alison Mcphaden reassigns Medicare benefits to Women Physicians In Obgyn, Inc (Columbus, OH). The 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 Alison Mcphaden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alison Mcphaden accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Alison Mcphaden 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.
Is Alison Mcphaden affiliated with any hospitals?
According to CMS data, Alison Mcphaden is affiliated with Riverside Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Alison Mcphaden was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Alison Mcphaden · NPI 1164235263
Women's Health physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since January 31, 2025.
## Identity
- **NPI:** 1164235263 (Entity type: Individual)
- **Enumerated:** January 31, 2025
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 104999820 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3525 OLENTANGY RIVER RD STE 6350, Columbus, OH 43214-3962
- **Phone:** (614) 734-3347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Women Physicians In Obgyn, Inc (NPI 1871531566, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164235263) · Data from the CMS NPPES public registry.