STEPHANIE M MEDERNACH (NNP) – Neonatal Nurse Practitioner, NPI 1093269318
Neonatal Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for STEPHANIE M MEDERNACH (NNP)
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Mailing
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
3535 OLENTANGY RIVER RD
COLUMBUS, OH 432143908
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Location
5100 W Broad St
Columbus, OH 432281607
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Location
410 W 10th Ave
Columbus, OH 432101240
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Location
111 S Grant Ave
Columbus, OH 432154701
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Location
7500 Hospital Dr
Dublin, OH 430168518
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Location
700 Childrens Dr
Columbus, OH 432052664
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Location
1010 Refugee Rd
Pickerington, OH 431479653
Phone: (614) 722-4560
Fax: (614) 722-4541
Type: Location
University of Virginia Medical Center, 1215, Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22908, United States
CHARLOTTESVILLE, VA 229082319
Phone: (434) 924-2335
Fax: (434) 982-0796
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200415002717 | I | Nurse Practitioner | VA | TBD |
| I20251021001625 | I | Nurse Practitioner | OH | TBD |
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.
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 43205)
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