MONICA LIGHT APRN
NPI 1295491512
Nurse Practitioner - Family in Marion, OH

Active since November 10, 2021PECOS Enrolled
560 N MAIN ST, MARION, OH 43302(833) 510-4357 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 13, 2023, Dec 30, 2021, Nov 10, 2021 (3 updates tracked since 2021).

About Monica Light Aprn NPPES

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

MONICA LIGHT APRN (NPI 1295491512) is an individual family provider in Marion, Ohio, licensed in Ohio (APRN.CNP.0030429) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295491512
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA LIGHTCredential: APRN
Location Address560 N MAIN STMarion, OH 43302-2331
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357
Sole ProprietorYes
Enumeration DateNovember 10, 2021
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1295491512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0030429
560 N MAIN ST, Marion, OH 43302

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Light Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Monica Light reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
446 MORGAN ST
Cincinnati, OH 45206
  • Reassigned Medicare billing, Ohio enrollment
  • 168 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2620 INDUSTRIAL PARK DRIVE
Bedford, IN 47421
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
Addiction Medicine
111 SW NAITO PKWY STE 200
Portland, OR 97204
  • Reassigned Medicare billing, Ohio enrollment
  • 162 clinicians in this Medicare group
Venvisor Health Ohio LLC
  • Reassigned Medicare billing, Ohio enrollment
  • 34 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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.

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.

Counselor (Addiction (Substance Use Disorder))
560 N MAIN ST
MARION, OH 43302
Nurse Practitioner (Family)
560 N MAIN ST
MARION, OH 43302
Counselor (Addiction (Substance Use Disorder))
560 N MAIN ST
MARION, OH 43302
Counselor (Addiction (Substance Use Disorder))
560 N MAIN ST
MARION, OH 43302
Counselor (Addiction (Substance Use Disorder))
560 N MAIN ST
MARION, OH 43302
Licensed Practical Nurse
560 N MAIN ST
MARION, OH 43302
Licensed Practical Nurse
560 N MAIN ST
MARION, OH 43302
Counselor (Professional)
560 N MAIN ST
MARION, OH 43302

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 Monica Light's NPI number?

The NPI number for Monica Light is 1295491512. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Monica Light located?

Monica Light practices at 560 N Main St, Marion, OH 43302. The listed phone number is (833) 510-4357.

What is Monica Light's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monica Light enrolled in Medicare?

Yes. Monica Light is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monica Light's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Light reassigns Medicare benefits to 4 organizations: Brightview LLC (Cincinnati, OH), Roadways To Recovery Inc., (Bedford, IN), Boulder Care Provider Group PA (Portland, OR) and Venvisor Health Ohio LLC (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 Monica Light's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Light accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Monica Light 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 Monica Light was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.