Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Paul Momeyer

Individual provider Registered Nurse · NPI 1679229629

Justin Paul Momeyer is a Certified Registered Nurse Anesthetist (CRNA) in Mount Vernon, Ohio. Qualified in 2023, 3 years ago. Practices with Knox Community Hospital, a 117-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone: (740) 393-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3535 Olentangy River Rd, Columbus, OH 43214-3908 — (614) 884-0641
  • 111 S Grant Ave Fl 3, Columbus, OH 43215-4701 — (614) 566-9871

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0020791 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.450251 (OH)

Record details

NPI number1679229629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2022
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Knox Community Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon