ANTENNIE D AULD (NP-PMH) – Nurse Practitioner, NPI 1619499076
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for ANTENNIE D AULD (NP-PMH)
9388 Sherborn Dr
Cincinnati, OH 45231
Phone: (513) 207-7447
Type: Location
11134 Luschek Dr
Blue Ash, OH 452412434
Phone: (513) 827-9274
Fax: (513) 818-9960
Type: Location
East Mountain View Road, Continental Village, Scottsdale, Maricopa County, Arizona, 85258, United States
SCOTTSDALE, AZ 852585172
Phone: (480) 862-1738
Type: Mailing
11134 LUSCHEK DR
BLUE ASH, OH 452412434
Phone: (513) 827-9274
Fax: (513) 818-9960
Type: Mailing
4212 STATE ROUTE 306 STE 100
WILLOUGHBY, OH 440949248
Phone: (440) 973-8400
Fax: (440) 201-6400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($81).
Total Amount
$163
General + Research + Ownership
Payments
6
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $81 |
| Hikma Pharmaceuticals USA | $35 |
| ABBVIE INC. | $24 |
| Indivior Inc. | $22 |
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: 2017-11-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171101000936 | 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 45231)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH |
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