Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erin C Radominski, APRN, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1659865103

Erin C Radominski, APRN, AGACNP-BC is a Nurse Practitioner in Dayton, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2018, 8 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2018
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

405 W Grand Ave
Dayton, OH 45405
Phone: (937) 723-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.022872 (OH)

Record details

NPI number1659865103
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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