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ANTHONY H ARNETT CNP
NPI 1295177194
Nurse Practitioner in Portsmouth, OH

Active since July 22, 2013PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
621 BROADWAY ST, PORTSMOUTH, OH 45662(614) 923-0300(614) 923-0400 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2023, Apr 19, 2021, Apr 16, 2019 (3 updates tracked since 2019).

About Anthony H Arnett Cnp NPPES

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

ANTHONY H ARNETT CNP (NPI 1295177194) is an individual nurse practitioner in Portsmouth, Ohio, licensed in Ohio (APRN.CNP.14851) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Ohio Medical University (2013).

NPPES Registry Identity

NPI1295177194
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameANTHONY H ARNETTCredential: CNP
Location Address621 BROADWAY STPortsmouth, OH 45662-4788
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · Fax (614) 544-6370
Phone(614) 923-0300
Fax(614) 923-0400
Sole ProprietorNo
Medical School CMSOhio Medical UniversityGraduated 2013
Enumeration DateJuly 22, 2013
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1295177194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.14851
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.
621 BROADWAY ST, Portsmouth, OH 45662
Open in Google Maps ↗

Other Identifiers 1

Medicaid0089160OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Anthony H Arnett Cnp 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.

PECOS PAC ID1355576737
PECOS Enrollment IDI20131022000386
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

4

Medicare enrollment records show Anthony Arnett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Action Committee Of Pike County
Same address
Primary Care
621 BROADWAY ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • Also billed through NPI 1912164146 (Ohio)
  • 19 clinicians in this Medicare group
NPI 1578974929 (740) 961-4011
Epmg Of Ohio Inc P A
1.3 mi
Emergency Medicine
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 54 clinicians in this Medicare group
NPI 1841232196 (954) 939-5000
Ohiohealth Corporation
85 mi
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808
Ohiohealth Urgent Care LLC
95 mi
Urgent Care
6905 HOSPITAL DR STE 130
Dublin, OH 43016
  • Reassigned Medicare billing, Ohio enrollment
  • 388 clinicians in this Medicare group
NPI 1811207160 (614) 923-0300

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 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.75
Promoting Interoperability100
Improvement Activities40
Cost77.59

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims21 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$0.93 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MRS. CAROLYN L BERRY-PETTIT CNS
Clinical Nurse Specialist (Women's Health)
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 961-4011
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Clinic/Center (Mental Health (Including Community Mental Health Center))
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 961-4011
JOHN LOUDERMILK DDS
Dentist
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 941-4011
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Clinic/Center (Mental Health (Including Community Mental Health Center))
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 961-4011
ELSAYED ELMASRY
Dentist (General Practice)
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 289-2371
DR. SARATH N. BACHALI DMD
Dentist (General Practice)
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 370-4234
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Clinic/Center (Primary Care)
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 961-4011
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
621 BROADWAY ST
PORTSMOUTH, OH 45662
Scioto County (740) 961-4011

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 Anthony Arnett's NPI number?

The NPI number for Anthony Arnett is 1295177194. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Anthony Arnett located?

Anthony Arnett practices at 621 Broadway St, Portsmouth, OH 45662. The listed phone number is (614) 923-0300.

What is Anthony Arnett's specialty?

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

Is Anthony Arnett enrolled in Medicare?

Yes. Anthony Arnett 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 organizations bill Medicare for Anthony Arnett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Arnett reassigns Medicare benefits to 4 organizations: Community Action Committee Of Pike County (Portsmouth, OH), Epmg Of Ohio Inc P A (Portsmouth, OH), Ohiohealth Corporation (Columbus, OH) and Ohiohealth Urgent Care LLC (Dublin, 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 Anthony Arnett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Arnett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Anthony Arnett 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 Anthony Arnett affiliated with any hospitals?

According to CMS data, Anthony Arnett is affiliated with Southern Ohio Medical Center, Ohiohealth O'bleness Hospital and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Anthony Arnett was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.