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ASONGACHA MBETAZI
NPI 1215377262
Registered Nurse in Columbus, OH

Active since July 03, 2013PECOS Enrolled
1810 SULLIVANT AVE, COLUMBUS, OH 43222(614) 752-0333 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Jun 2, 2025 (2 updates tracked since 2025).

About Asongacha Mbetazi NPPES

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

ASONGACHA MBETAZI (NPI 1215377262) is an individual registered nurse in Columbus, Ohio, licensed in Ohio (RN.395246) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1215377262
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameASONGACHA MBETAZI
Location Address1810 SULLIVANT AVEColumbus, OH 43222-1055
Mailing Address6363 Casado DrColumbus, OH 43213-1579
Phone(614) 752-0333
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 3, 2013
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1215377262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in OH · RN.395246
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License CNP.0042705 (OH)
1810 SULLIVANT AVE, Columbus, OH 43222
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Secondary Practice Location 1

Location 14290 Macsway AveColumbus, OH 43232-4257 · Phone (614) 439-3136

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Insurance Corporation of Ohio, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Asongacha Mbetazi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921567959
PECOS Enrollment IDI20260828003427
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 Reassignment

Medicare enrollment records show Asongacha Mbetazi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Resolution LLC
11 mi
Psychiatric/Mental Health
6011 CLEVELAND AVE STE B
Columbus, OH 43231
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1235850462 (614) 254-2543

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

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.

ELENICE GOMES
Social Worker (Clinical)
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 752-0333
TERRY LESHAWN COLE I
Case Manager/Care Coordinator
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 752-0333
JUSTIN STEVENS BA
Case Manager/Care Coordinator
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 641-4074
JEANNE LEVY LISW
Social Worker (Clinical)
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 752-0333
MS. MICHELLE MACKEY
Peer Specialist
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 752-0333
ELYSEE BLANDINE RUGWIRO
Registered Nurse
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 641-4055
MS. MARY ELIZABETH SPARKS LISW-S
Social Worker (Clinical)
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 641-4073
GERALD WILLIAM NEAL
Case Manager/Care Coordinator
1810 SULLIVANT AVE
COLUMBUS, OH 43222
Franklin County (614) 641-4070

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 Asongacha Mbetazi's NPI number?

The NPI number for Asongacha Mbetazi is 1215377262. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Asongacha Mbetazi located?

Asongacha Mbetazi practices at 1810 Sullivant Ave, Columbus, OH 43222. The listed phone number is (614) 752-0333.

What is Asongacha Mbetazi's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Asongacha Mbetazi enrolled in Medicare?

Yes. Asongacha Mbetazi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Asongacha Mbetazi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asongacha Mbetazi reassigns Medicare benefits to Health Resolution LLC (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 Asongacha Mbetazi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asongacha Mbetazi accept?

Health plans from Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Asongacha Mbetazi 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 Asongacha Mbetazi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.