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TRISHA J HALDERMAN
NPI 1649822461
Nurse Practitioner - Acute Care in Liberty Township, OH

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment
81.25/100
CMS Quality Rating
6939 COX RD, LIBERTY TOWNSHIP, OH 45069(513) 206-1460(513) 206-1479 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trisha J Halderman NPPES

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

TRISHA J HALDERMAN (NPI 1649822461) is an individual acute care provider in Liberty Township, Ohio, licensed in Ohio (CNP.025010) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Fort Hamilton Hughes Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649822461
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTRISHA J HALDERMAN
Location Address6939 COX RDLiberty Township, OH 45069-7595
Mailing Address237 William Howard Taft Rd Fl 2Cincinnati, OH 45219-2610 · (513) 263-8570 · Fax (513) 263-8622
Phone(513) 206-1460
Fax(513) 206-1479
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2019
✔ NPI 1649822461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · CNP.025010
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License CNP.025010 (OH)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP.025010 (OH)
6939 COX RD, Liberty Township, OH 45069
Open in Google Maps ↗

Other Names 1

Former Name (1)Trisha J Hunt Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Trisha J Halderman 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 ID5294065132
PECOS Enrollment IDI20190919001636
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
586 services459 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services42 patients
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242
This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
20 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

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 45069 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.

81.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.93
Promoting Interoperability100
Improvement Activities40
Cost57.57

Other Providers at the Same Location NPPES 10

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

DR. MICHAEL PALMER M.D.
Orthopaedic Surgery
6939 COX RD
LIBERTY TOWNSHIP, OH 45069
Butler County (513) 791-5200
KELLY LOUISE CHRISTIAN
Advanced Practice Midwife
6939 COX RD
LIBERTY TOWNSHIP, OH 45069
Butler County (513) 564-1600
BRADY J KINSEY
Emergency Medicine
6939 COX RD
LIBERTY TOWNSHIP, OH 45069
Butler County (513) 648-7800
JESSICA PYKOSZ PA-C
Physician Assistant
6939 COX RD
LIBERTY TOWNSHIP, OH 45069
Butler County (513) 791-5200
ASHLEY SCHWETSCHENAU RN
Registered Nurse
6939 COX RD
LIBERTY TWP, OH 45069
Butler County (513) 648-7694
JENNIFER DEMOS-BERTRAND D.O
Obstetrics & Gynecology
6939 COX RD
LIBERTY TOWNSHIP, OH 45069
Butler County (513) 567-1600
SARI MURRAY CSA
Specialist/Technologist, Other (Surgical Assistant)
6939 COX RD
LIBERTY TOWNSHIP, OH 45069
Butler County (513) 648-7777
GEORGE STEPHEN GEORGE M.D.
Internal Medicine (Cardiovascular Disease)
6939 COX RD
LIBERTY TOWNSHIP, OH 45069
Butler County (513) 206-1460

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 Trisha Halderman's NPI number?

The NPI number for Trisha Halderman is 1649822461. It was assigned to this individual provider in the NPPES registry on July 11, 2019. The provider is also known as Trisha J Hunt Aprn.

Where is Trisha Halderman located?

Trisha Halderman practices at 6939 Cox Rd, Liberty Township, OH 45069. The listed phone number is (513) 206-1460.

What is Trisha Halderman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Trisha Halderman enrolled in Medicare?

Yes. Trisha Halderman 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 Trisha Halderman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Trisha Halderman 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 Trisha Halderman affiliated with any hospitals?

According to CMS data, Trisha Halderman is affiliated with Fort Hamilton Hughes Memorial Hospital and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Trisha Halderman was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.