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PHYSICIAN PROVIDER SERVICES LLC
NPI 1518726264
Nurse Practitioner in Blue Ash, OH

Active since March 15, 2024
11690 GROOMS RD, BLUE ASH, OH 45242(800) 526-6797 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Physician Provider Services Llc NPPES

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

PHYSICIAN PROVIDER SERVICES LLC (NPI 1518726264) is a healthcare organization registered as a nurse practitioner in Blue Ash, Ohio and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Blue Ash and lists Andre Creese, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518726264
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePHYSICIAN PROVIDER SERVICES LLC
Location Address11690 GROOMS RDBlue Ash, OH 45242-1412
Mailing Address1 Indiana Sq Ste 2060Indianapolis, IN 46204-2020
Phone(800) 526-6797
Organization SubpartNo
Authorized OfficialAndre CreeseCeo · (317) 672-8600
Enumeration DateMarch 15, 2024
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1518726264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
11690 GROOMS RD, Blue Ash, OH 45242
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Secondary Practice Location 1

Location 111690 Grooms RdBlue Ash, OH 45242-1412 · Phone (800) 526-6797

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MRS. AMANDA LAUREN KENNEDY AGACNP-BC
Nurse Practitioner (Acute Care)
11690 GROOMS RD
BLUE ASH, OH 45242
Hamilton County (513) 917-9697
TERA LEE HOWARD FNP-C
Nurse Practitioner (Family)
11690 GROOMS RD
BLUE ASH, OH 45242
Hamilton County (812) 284-2273
SARA HAMBIDGE PT
Physical Therapist
11690 GROOMS RD
BLUE ASH, OH 45242
Hamilton County (513) 469-7800
ASSURANCE HEALTH CLARKSVILLE LLC
Psychiatry & Neurology (Psychiatry)
11690 GROOMS RD
BLUE ASH, OH 45242
Hamilton County (765) 374-6044
ASSURANCE HEALTH CINCINNATI, LLC
Psychiatric Hospital
11690 GROOMS RD
BLUE ASH, OH 45242
Hamilton County (513) 469-7800
DANIEL STRONG APRN CNP PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11690 GROOMS RD
BLUE ASH, OH 45242
Hamilton County (513) 469-7800

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 Physician Provider Services LLC's NPI number?

The NPI number for Physician Provider Services LLC is 1518726264. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is Physician Provider Services LLC located?

Physician Provider Services LLC is located at 11690 Grooms Rd, Blue Ash, OH 45242. The listed phone number is (800) 526-6797.

What is Physician Provider Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Physician Provider Services LLC was last updated on June 6, 2024. 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.