| Jennifer Pettibone Gastenveld, NP | |
|
2123 Auburn Ave, Cincinnati, OH 45219-2906 | |
| (513) 206-1180 | |
| (513) 206-1183 |
| Full Name | Jennifer Pettibone Gastenveld |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 2123 Auburn Ave, Cincinnati, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124346879 | NPI | - | NPPES |
| 3050764 | Medicaid | OH | |
| 7100116680 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 327169 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 327169 (Ohio) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 327169 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christ Hospital | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Christ Hospital Cardiovascular Associates Llc | 1658449715 | 122 |
| The Christ Hospital Cardiovascular Associates Llc | 1658449715 | 122 |
| Entity Name | The Christ Hospital Cardiovascular Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497901458 PECOS PAC ID: 1658449715 Enrollment ID: O20081003000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Pettibone Gastenveld, NP 237 William Howard Taft Rd, 2nd Floor, Cbo 2-3, Cincinnati, OH 45219-2610 Ph: (513) 206-1180 | Jennifer Pettibone Gastenveld, NP 2123 Auburn Ave, Cincinnati, OH 45219-2906 Ph: (513) 206-1180 |
Mr. Raymond John Barrows, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245 Phone: 513-752-9610 Fax: 513-732-8734 | |
Ms. Darcel Derri Bolser, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, Cincinnati, OH 45220 Phone: 513-475-6524 Fax: 513-475-6525 | |
Mrs. Lauren Faye Smith, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-792-7445 Fax: 513-791-4042 | |
Sonia L Hissett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238 Phone: 513-557-3333 Fax: 513-557-3332 | |
Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952 | |
Erynne Hamilton, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-862-2514 Fax: 513-862-4189 | |
Kathryn Elizabeth Dinh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 Phone: 513-272-0313 Fax: 513-272-0316 |