GWENDOLYN JAYE FELDHAUS (FNP) – Nurse Practitioner, NPI 1063860112

GWENDOLYN JAYE FELDHAUS (FNP) is a healthcare provider. based in Cincinnati, Ohio. specializing in Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. APRN.CNP.022150 (OH). The NPI Number for GWENDOLYN JAYE FELDHAUS (FNP) is 1063860112

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
GWENDOLYN JAYE FELDHAUS (FNP)
NPI
1063860112
Phone
(513) 636-7966
Address
3333 BURNET AVENUE
Enumeration Date
31 May 2016
Last Update Date
15 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139814105
Graduation Year
2017 (9 years ago)
PAC ID
1557618451
Group Practice PAC ID
6709790892
Professional Enrollment ID
I20180724002009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for GWENDOLYN JAYE FELDHAUS (FNP)

  • 3333 BURNET AVENUE

    MLC 2008

    CINCINNATI, OH 45229

    Phone: (513) 636-7966

    Fax: (513) 636-7967

    Type: Location

  • 6045 BRIDGETOWN RD

    CINCINNATI, OH 452483049

    Phone: (513) 981-4105

    Fax: (513) 347-4620

    Type: Mailing

  • 10477 Harrison Ave

    Harrison, OH 45030

    Phone: (513) 202-8283

    Type: Location

  • 20 Alpine Dr

    Batesville, IN 470068477

    Phone: (812) 932-3224

    Fax: (812) 932-3229

    Type: Location

  • 6045 Bridgetown Rd

    Cincinnati, OH 45248

    Phone: (513) 981-4105

    Fax: (513) 347-4620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Abbott Laboratories ($108).

Total Amount

$108

General + Research + Ownership

Payments

5

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$108
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180724002009INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709790892View full group profile

Reviews

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Frequently asked questions

Is GWENDOLYN JAYE FELDHAUS (FNP) listed with a National Provider Identifier?
Yes — GWENDOLYN JAYE FELDHAUS (FNP) has NPI 1063860112 on file in the registry.
Is there an active status for GWENDOLYN JAYE FELDHAUS (FNP)?
For scheduling context, GWENDOLYN JAYE FELDHAUS (FNP) is shown as active in the registry.
What clinical focus is listed for GWENDOLYN JAYE FELDHAUS (FNP)?
At a glance, GWENDOLYN JAYE FELDHAUS (FNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GWENDOLYN JAYE FELDHAUS (FNP)?
Travel planning: use Cincinnati, Ohio as the reference point for GWENDOLYN JAYE FELDHAUS (FNP), then confirm.
When was this NPI issued?
Enumeration for GWENDOLYN JAYE FELDHAUS (FNP) is noted as May 31, 2016 where the registry provides it.

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