Ingenious Health & Wellness – Family Nurse Practitioner, NPI 1861026973
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Ingenious Health & Wellness
5721 ERICSSON WAY
TROTWOOD, OH 454261480
Phone: (937) 902-8595
Type: Location
PO BOX 26521
TROTWOOD, OH 454260521
Phone: (937) 902-8595
Type: Mailing
20 W WENGER RD
ENGLEWOOD, OH 453222722
Phone: (937) 918-6174
Fax: (937) 998-1134
Type: Location
8805 N MAIN ST
DAYTON, OH 454151333
Phone: (937) 999-7456
Fax: (937) 998-1134
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: 2024-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (281 days ago).
Enrollment records
4
Earliest due date
2025-08-31
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 |
|---|---|---|---|---|
| O20200424002705 | O | Clinic/Group Practice | OH | 2025-08-31 |
| O20230815002798 | O | Clinic/Group Practice | FL | TBD |
| O20240312000502 | O | Clinic/Group Practice | TX | TBD |
| O20240415001871 | O | Clinic/Group Practice | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45426)
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