MR. JON PHILIP HAUTZENROEDER (CNP) – Nurse Practitioner, NPI 1205300886
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $33 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190619001439 | I | Nurse Practitioner | OH | TBD |
| I20210507002250 | I | Certified Clinical Nurse Specialist (Cns) | IN | TBD |
| I20260120002571 | I | Nurse Practitioner | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 31 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 53 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 29 | $0 |
Insurance plans in this area (ZIP 45219)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Marriage And Family Therapist | IN | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| - | FL | |
| Nurse Practitioner | KY |
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