PROFESSIONAL PROVIDERS NETWORKING LLC
NPI 1457014599
Clinic/Center - Primary Care in Reynoldsburg, OH

Active since October 15, 2021CLIA 36D2241677 · Waiver
7602 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068(614) 574-1824 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Professional Providers Networking Llc NPPES

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

PROFESSIONAL PROVIDERS NETWORKING LLC (NPI 1457014599) is a healthcare organization registered as a primary care in Reynoldsburg, Ohio and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 31, 2027, maintains a secondary practice location in Columbus, and lists Elizabeth A. Wadei, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1457014599
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROFESSIONAL PROVIDERS NETWORKING LLC
Location Address7602 SLATE RIDGE BLVDReynoldsburg, OH 43068-8157
Mailing Address691 E Dublin Granville RdColumbus, OH 43229-3209 · (614) 599-2479
Organization SubpartNo
Authorized OfficialElizabeth A. WadeiFamily Nurse Practitioner · (614) 574-1823
Enumeration DateOctober 15, 2021
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1457014599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse PractitionerTaxonomy 363L00000X
7602 SLATE RIDGE BLVD, Reynoldsburg, OH 43068

Secondary Practice Location 1

Location 1691 E Dublin Granville RdColumbus, OH 43229-3209 · Phone (614) 446-0101 · Fax (614) 420-2229

Other Identifiers 2

OtherAPRN.CNP.0028939OH · Medicare
MedicaidAPRN.CNP.0028939OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Providers Networking Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20211108002735Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Professional Providers Networking LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1255322335
621 BROAD ST SW 1E
Pataskala, OH 43062
(740) 927-5060
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1487958302
691 E DUBLIN GRANVILLE RD
Columbus, OH 43229
(614) 574-1823
✔ PECOS✔ Accepts Medicare15 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2241677

Professional Providers Networking LLC · Columbus, OH
Active · expires Oct 31, 2027
CLIA Number36D2241677
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorElizabeth A. Wadei
Laboratory Phone(614) 599-2479
Laboratory LocationProfessional Providers Networking LLC691 E Dublin Granville Rd, Columbus, OH 43229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Professional Providers Networking LLC's NPI number?

The NPI number for Professional Providers Networking LLC is 1457014599. It was assigned to this organization in the NPPES registry on October 15, 2021.

Where is Professional Providers Networking LLC located?

Professional Providers Networking LLC is located at 7602 Slate Ridge Blvd, Reynoldsburg, OH 43068. The listed phone number is (614) 574-1824.

What is Professional Providers Networking LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Professional Providers Networking LLC enrolled in Medicare?

Yes. Professional Providers Networking LLC is registered in the Medicare PECOS enrollment system.

When is Professional Providers Networking LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Professional Providers Networking LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Professional Providers Networking LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Professional Providers Networking LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2241677) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Professional Providers Networking LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Professional Providers Networking LLC 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 Professional Providers Networking LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.