EBONEE EMANUEL (WHNP) – Women's Health Nurse Practitioner, NPI 1669863148
Women's Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for EBONEE EMANUEL (WHNP)
2780 AIRPORT DR STE 100
COLUMBUS, OH 432192289
Phone: (614) 859-1900
Fax: (614) 645-5517
Type: Mailing
1905 PARSONS AVE
COLUMBUS, OH 432071933
Phone: (614) 586-4159
Fax: (614) 586-4252
Type: Location
405 Butterfly Gardens Dr
Columbus, OH 432154985
Phone: (614) 722-6200
Fax: (614) 355-6228
Type: Location
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-6200
Fax: (614) 355-6228
Type: Location
1905 Parsons Ave
Columbus, OH 432071933
Phone: (614) 586-4159
Fax: (614) 586-4252
Type: Location
1511 W Broad St
Columbus, OH 432221000
Phone: (614) 222-3525
Fax: (614) 222-3608
Type: Location
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-6200
Fax: (614) 355-6228
Type: Location
6435 E Broad St
Columbus, OH 432131507
Phone: (614) 722-6200
Fax: (614) 355-6228
Type: Location
7901 Diley Rd
Canal Winchester, OH 431109612
Phone: (614) 722-6200
Fax: (614) 355-6228
Type: Location
5675 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-6200
Fax: (614) 355-6228
Type: Location
21 E State St Ste 200
Columbus, OH 432150109
Phone: (888) 731-8994
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-6200
Fax: (614) 355-6228
Type: Mailing
15 MESSIMER DR
NEWARK, OH 430551841
Phone: (220) 564-4677
Fax: (220) 564-4678
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: 2015-04-29
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 |
|---|---|---|---|---|
| I20150429000623 | 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 43219)
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