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DAWN R. DENTON APRN-CNP
NPI 1295286490
Nurse Practitioner in Columbus, OH

Active since October 23, 2016PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1145 OLENTANGY RIVER RD, COLUMBUS, OH 43212(614) 293-0066(614) 293-7264 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2021, Dec 9, 2020, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Dawn R. Denton Aprn-cnp NPPES

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

DAWN R. DENTON APRN-CNP (NPI 1295286490) is an individual nurse practitioner in Columbus, Ohio, licensed in Ohio (APRNCNP020153) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295286490
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDAWN R. DENTONCredential: APRN-CNP
Location Address1145 OLENTANGY RIVER RDColumbus, OH 43212-3117
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-0066
Phone(614) 293-0066
Fax(614) 293-7264
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 23, 2016
Last NPPES UpdateJanuary 11, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1295286490 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 · APRNCNP020153
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.
1145 OLENTANGY RIVER RD, Columbus, OH 43212
Open in Google Maps ↗

Other Identifiers 1

Medicaid0197786OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dawn R. Denton Aprn-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 ID2163705773
PECOS Enrollment IDI20170206001362
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

JULIA A GARRETT APRN-CNP
Nurse Practitioner
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Franklin County (614) 293-4040
DANIEL G STOVER M.D.
Internal Medicine (Medical Oncology)
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Franklin County (614) 293-0066
KATHLEEN B. ROGERS APRN.CNP
Nurse Practitioner (Adult Health)
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Franklin County (614) 293-0066
AARON DUSH
Pharmacist
1145 OLENTANGY RIVER RD, SUITE 2121
COLUMBUS, OH 43212
Franklin County (614) 366-9319
SAMILIA OBENG-GYASI M.D.
Surgery (Surgical Oncology)
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Franklin County (614) 293-4040
KATIE M. NAVARRE APRN-CNP
Nurse Practitioner
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Franklin County (614) 293-4040
HOPE XU MD
Plastic Surgery
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Franklin County (614) 293-0223
MRS. AMBER MARIE FRIEDMAN PA-C
Physician Assistant
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Franklin County (614) 293-0066

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 Dawn Denton's NPI number?

The NPI number for Dawn Denton is 1295286490. It was assigned to this individual provider in the NPPES registry on October 23, 2016.

Where is Dawn Denton located?

Dawn Denton practices at 1145 Olentangy River Rd, Columbus, OH 43212. The listed phone number is (614) 293-0066.

What is Dawn Denton's specialty?

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

Is Dawn Denton enrolled in Medicare?

Yes. Dawn Denton 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.

What insurance does Dawn Denton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Dawn Denton 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 Dawn Denton was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.