OUR REDEMPTION, LLC
NPI 1174491443
Nurse Practitioner in Vandalia, OH

Active since October 28, 2025
404 CORPORATE CENTER DR, VANDALIA, OH 45377(937) 416-4186 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Our Redemption, Llc NPPES

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

OUR REDEMPTION, LLC (NPI 1174491443) is a healthcare organization registered as a nurse practitioner in Vandalia, Ohio and active in the NPI registry since October 2025. The organization lists Nichole Marie Norvell, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1174491443
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameOUR REDEMPTION, LLC
Location Address404 CORPORATE CENTER DRVandalia, OH 45377-1164
Mailing Address404 Corporate Center DrVandalia, OH 45377-1164 · (937) 416-4186
Organization SubpartNo
Authorized OfficialNichole Marie NorvellNurse Practitioner · (937) 416-4186
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1174491443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
404 CORPORATE CENTER DR, Vandalia, OH 45377

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Our Redemption, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Our Redemption, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1487838694
1149 EXPERIMENT FARM RD
Troy, OH 45373
(937) 540-9920
✔ PECOS12 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 Our Redemption, LLC's NPI number?

The NPI number for Our Redemption, LLC is 1174491443. It was assigned to this organization in the NPPES registry on October 28, 2025.

Where is Our Redemption, LLC located?

Our Redemption, LLC is located at 404 Corporate Center Dr, Vandalia, OH 45377. The listed phone number is (937) 416-4186.

What is Our Redemption, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Our Redemption, LLC enrolled in Medicare?

Yes. Our Redemption, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Our Redemption, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Our Redemption, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Our Redemption, LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.