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MRS. DENISE A DOAN APRN
NPI 1629550942
Nurse Practitioner in Cincinnati, OH

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
2123 AUBURN AVE STE 401, CINCINNATI, OH 45219(513) 241-5489(513) 241-5490 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Denise A Doan Aprn NPPES

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

MRS. DENISE A DOAN APRN (NPI 1629550942) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (0033464) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of University Of Cincinnati College Of Medicine (2018).

NPPES Registry Identity

NPI1629550942
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. DENISE A DOANCredential: APRN
Location Address2123 AUBURN AVE STE 401Cincinnati, OH 45219-2906
Mailing Address2123 Auburn Ave Ste 401Cincinnati, OH 45219-2906 · (513) 241-5489 · Fax (513) 241-5490
Phone(513) 241-5489
Fax(513) 241-5490
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2018
Enumeration DateSeptember 4, 2018
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1629550942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in OH · 0033464✔ Licensed in KY · 3012620
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.
2123 AUBURN AVE STE 401, Cincinnati, OH 45219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Denise A Doan Aprn 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 ID1658622030
PECOS Enrollment IDI20240126001677, I20250414003183
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

3

Medicare enrollment records show Denise Doan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Christ Hospital Medical Associates, LLC
0.1 mi
Internal Medicine
2139 AUBURN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 10 clinicians in this Medicare group
NPI 1114107919 (513) 351-9900
Summit Medical Group, Inc.
6.5 mi
Urgent Care
2626 ALEXANDRIA PIKE
Highland Heights, KY 41076
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1881026169 (859) 757-0434
Premier Health Specialists Inc
28 mi
Psychologist
5900 LONG MEADOW DR, SUITE 300
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1831466986 (937) 478-0749

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

Areas of Expertise CMS Part B claims 2

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.

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
16 services15 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151329
Location321 Mitchell AveBatesville, IN 47006 · Franklin County
Emergency services

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

KRISHNA KASHYAP GANNAMRAJ D.O.
Internal Medicine (Pulmonary Disease)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
SYDNEY SCHACHT DO
Internal Medicine (Pulmonary Disease)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
HEATHER GRACE HOFFMANN CNP
Nurse Practitioner
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
LAUREN CROSSMAN MD
Internal Medicine (Pulmonary Disease)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
NICOLE YOUNG
Nurse Practitioner (Family)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489

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 Denise Doan's NPI number?

The NPI number for Denise Doan is 1629550942. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Denise Doan located?

Denise Doan practices at 2123 Auburn Ave Ste 401, Cincinnati, OH 45219. The listed phone number is (513) 241-5489.

What is Denise Doan's specialty?

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

Is Denise Doan enrolled in Medicare?

Yes. Denise Doan 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.

Which organizations bill Medicare for Denise Doan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Doan reassigns Medicare benefits to 3 organizations: The Christ Hospital Medical Associates, LLC (Cincinnati, OH), Summit Medical Group, Inc. (Highland Heights, KY) and Premier Health Specialists Inc (Middletown, 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 Denise Doan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Doan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Denise Doan 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 Denise Doan affiliated with any hospitals?

According to CMS data, Denise Doan is affiliated with Margaret Mary Community Hospital Inc and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Denise Doan was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.