Individual provider Active NPI

Janelle Jean Baldosser, MSN-CNP

  • Nurse Practitioner
  • Bucyrus, OH
National Provider Identifier
1003198482
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.12506-NP Issued in OH
Practice address
725 N Sandusky Ave
Suite 4
Bucyrus, OH 44820-1463
Phone
(740) 383-8665
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12506-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.12506-NP OH Primary

Addresses

NPPES NPI Registry

Primary practice location

725 N Sandusky Ave
Suite 4
Bucyrus, OH 44820-1463

Mailing address

1000 McKinley Park Dr.
Marion, OH 43302-6397
Phone (740) 383-8400

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
5514803MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2011.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1003198482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MCKINLEY PARK DR.",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026397",
            "telephone_number": "740-383-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N SANDUSKY AVE",
            "address_2": "SUITE 4",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201463",
            "telephone_number": "740-383-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOSSER",
        "first_name": "JANELLE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MSN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.12506-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5514803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.