MR. JON PHILIP HAUTZENROEDER (CNP) – Nurse Practitioner, NPI 1205300886

MR. JON PHILIP HAUTZENROEDER (CNP) is a healthcare provider. based in Cincinnati, Ohio. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS), NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 71011058A (IN). The NPI Number for MR. JON PHILIP HAUTZENROEDER (CNP) is 1205300886

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. JON PHILIP HAUTZENROEDER (CNP)
NPI
1205300886
Phone
(513) 585-2341
Address
2139 AUBURN AVE
Enumeration Date
16 January 2019
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124963285
Graduation Year
2017 (9 years ago)
PAC ID
0840524203
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20210507002250
Address ID
IN470258424GR1640XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH

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Provider Addresses for MR. JON PHILIP HAUTZENROEDER (CNP)

  • The Christ Hospital, 2139, Auburn Avenue, Mount Auburn Historic District, Mount Auburn, Cincinnati, Hamilton County, Ohio, 45219, United States

    CINCINNATI, OH 452192906

    Phone: (513) 585-2341

    Type: Location

  • 3877 CELTIS CT

    HAMILTON, OH 450139564

    Phone: (513) 235-7291

    Type: Mailing

  • PO BOX 635283

    CINCINNATI, OH 452635283

    Phone: (812) 926-3133

    Fax: (812) 926-1668

    Type: Mailing

  • 112 LINKS WAY

    AURORA, IN 470011403

    Phone: (812) 926-3133

    Fax: (812) 926-1668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190619001439INurse PractitionerOHTBD
I20210507002250ICertified Clinical Nurse Specialist (Cns)INTBD
I20260120002571INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7031$0
99212Established patient office or other outpatient visit, 10-19 minutes5326$0
99213Established patient office or other outpatient visit, 20-29 minutes4229$0
View full utilization report →

Insurance plans in this area (ZIP 45219)

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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: 2163326240View full group profile
NameSpecialtyState
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
Marriage And Family TherapistIN
Family PracticeOH
G A S T R O E N T E R O L O G YKY
Clinical Social WorkerKY
-KY
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for MR. JON PHILIP HAUTZENROEDER (CNP) in the U.S.?
In the U.S., MR. JON PHILIP HAUTZENROEDER (CNP) is identified by NPI 1205300886.
Should I treat MR. JON PHILIP HAUTZENROEDER (CNP) as an active provider?
Patients and plans typically see MR. JON PHILIP HAUTZENROEDER (CNP) as active in the national extract.
What services align with MR. JON PHILIP HAUTZENROEDER (CNP)'s listing?
MR. JON PHILIP HAUTZENROEDER (CNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JON PHILIP HAUTZENROEDER (CNP)?
MR. JON PHILIP HAUTZENROEDER (CNP) shows a connection to Cincinnati, Ohio in registry-derived data.
Why is information missing for MR. JON PHILIP HAUTZENROEDER (CNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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