ERICA GANTNER
NPI 1396344727
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Active since October 16, 2020PECOS EnrolledAccepts Medicare Assignment
1599 ALUM CREEK DR, COLUMBUS, OH 43209(614) 643-5454 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erica Gantner NPPES

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

ERICA GANTNER (NPI 1396344727) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0027835) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396344727
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameERICA GANTNER
Location Address1599 ALUM CREEK DRColumbus, OH 43209-2596
Mailing Address1599 Alum Creek DrColumbus, OH 43209-2596
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 15, 2020
NPI 1396344727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0027835
1599 ALUM CREEK DR, Columbus, OH 43209

Accepted 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

Erica Gantner 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 ID5496167736
PECOS Enrollment IDI20201210001796
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
183 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
166 services42 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
45 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43209 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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
1599 ALUM CREEK DR
COLUMBUS, OH 43209
Nurse Practitioner (Psychiatric/Mental Health)
1599 ALUM CREEK DR
COLUMBUS, OH 43209
Pharmacist
1599 ALUM CREEK DR
COLUMBUS, OH 43209
Social Worker
1599 ALUM CREEK DR
COLUMBUS, OH 43209
Social Worker
1599 ALUM CREEK DR
COLUMBUS, OH 43209

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 Erica Gantner's NPI number?

The NPI number for Erica Gantner is 1396344727. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Where is Erica Gantner located?

Erica Gantner practices at 1599 Alum Creek Dr, Columbus, OH 43209. The listed phone number is (614) 643-5454.

What is Erica Gantner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Erica Gantner enrolled in Medicare?

Yes. Erica Gantner 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 Erica Gantner accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Erica Gantner 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 Erica Gantner affiliated with any hospitals?

According to CMS data, Erica Gantner is affiliated with Grant Medical Center and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Erica Gantner was last updated on October 16, 2020. 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.