Active NPI 1770869547 Individual Practitioner Female Practitioner

Stacey L Mohler , CPNP

Nurse Practitioner - Pediatrics • Newark, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Stacey Mohler, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Newark, OH. Official NPI practice address is registered at 1671 W MAIN ST.

Practice Location & Contact Primary Location

Practice Address

1671 W Main St

Newark, OH 430551345

Telephone 7405225437

Fax 7405229609

Associated Practice Facility / Clinic

🏢 Heart Of Ohio Pediatrics Llc Facility NPI 1568116317

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Newark, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.0 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Newark, OH (1102 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-19

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH APRN.CNP.12838

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0058821 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Erin Vaughn

Nurse Practitioner - Family

NPI 1467262220

Allison Bosse , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1629723812

CPNPPC

Adrian Leibas , RN

Nurse Practitioner - Pediatrics

NPI 1679050025

Registered Nurse

Dr. Brad Pfau , MD

Pediatrics

NPI 1992740088

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location February 13, 2020

Registered at 1671 W MAIN ST, NEWARK, OH 430551345 (Tel: 7405225437)

📍

Updated Business Mailing Address February 13, 2020

Registered at 1671 W MAIN ST, NEWARK, OH 430551345 (Tel: 7405225437)

👤

Provider Name / Credentials Updated February 13, 2020

Recorded as STACEY MOHLER, CPNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2020

Nurse Practitioner (License #APRN.CNP.12838 in OH)

✅

NPI Profile Active October 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2011

Registered at 1 PERKINS SQ, AKRON, OH 443081063 (Tel: 3305431000)

📍

Updated Business Mailing Address October 25, 2011

Registered at 6067 TYRO ST, LOUISVILLE, OH 446418308 (Tel: 7409731640)

👤

Provider Name / Credentials Updated October 25, 2011

Recorded as STACEY MOHLER, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2011

Nurse Practitioner (License #12838 in OH)

🟢

Initial NPI Registration & Enumeration October 25, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1770869547

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2011

Last Update: March 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1671 W Main St

Newark, OH 430551345

Phone: 7405225437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.