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GWENDOLYN L DETILLION FNP-C
NPI 1740089382
Nurse Practitioner - Family in Cincinnati, OH

Active since March 07, 2025PECOS EnrolledAccepts Medicare Assignment
4850 SMITH RD STE 250, CINCINNATI, OH 45212(704) 776-5577 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Mar 7, 2025 (2 updates tracked since 2025).

About Gwendolyn L Detillion Fnp-c NPPES

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

GWENDOLYN L DETILLION FNP-C (NPI 1740089382) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (F03250051) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740089382
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWENDOLYN L DETILLIONCredential: FNP-C
Location Address4850 SMITH RD STE 250Cincinnati, OH 45212-2733
Mailing Address4850 Smith Rd Ste 250Cincinnati, OH 45212-2733 · (513) 231-1060
Phone(704) 776-5577
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 7, 2025
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1740089382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · F03250051
4850 SMITH RD STE 250, Cincinnati, OH 45212
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gwendolyn L Detillion Fnp-c 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 ID6406379916
PECOS Enrollment IDI20250325003471
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

2

Medicare enrollment records show Gwendolyn Detillion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Housecalls LLC
Same address
Family
4850 SMITH RD STE 250
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1962745083 (513) 699-9090
Supportive Healthcare Skilled LLC
2.5 mi
Family
4001 ROSSLYN DR
Cincinnati, OH 45209
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
NPI 1316838352 (513) 314-7617

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45212 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 9

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

TAVISSA GRANGER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 699-2053
JENNIFER VADEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 699-9090
MR. BENEDICT X JANOWSKI DNP, APNP, FNP-BC
Nurse Practitioner (Family)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (106) 051-3231
CARLOS JAVIER BURKE GARCIA
Internal Medicine
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 231-1060
CRYSTAL M. HODGE
Nurse Practitioner (Adult Health)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 699-9090
STACEY WILLGING NP
Nurse Practitioner (Gerontology)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 653-3024
GARY MATTHEW STEURER
Psychiatry & Neurology (Geriatric Psychiatry)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 699-9090
HOLLY HUDSON
Nurse Practitioner (Family)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 236-5142

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 Gwendolyn Detillion's NPI number?

The NPI number for Gwendolyn Detillion is 1740089382. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Gwendolyn Detillion located?

Gwendolyn Detillion practices at 4850 Smith Rd Ste 250, Cincinnati, OH 45212. The listed phone number is (704) 776-5577.

What is Gwendolyn Detillion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gwendolyn Detillion enrolled in Medicare?

Yes. Gwendolyn Detillion 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 Gwendolyn Detillion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Detillion reassigns Medicare benefits to 2 organizations: Medical Housecalls LLC (Cincinnati, OH) and Supportive Healthcare Skilled LLC (Cincinnati, 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 Gwendolyn Detillion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwendolyn Detillion 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 Gwendolyn Detillion 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 Gwendolyn Detillion was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.