Individual provider Active NPI

Cassandra Baumgartner, NP

  • Pediatric Nurse Practitioner
  • Lima, OH
National Provider Identifier
1013567304
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.024685 Issued in OH
Practice address
441 E 8TH St
Lima, OH 45804-2482
Phone
(419) 221-3072
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012457 NC
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.024685 OH Primary

Addresses

Primary practice location

441 E 8TH St
Lima, OH 45804-2482

Mailing address

329 N West St
Lima, OH 45801-4331
Phone (419) 221-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200210000727 NC Practitioner - Nurse Practitioner 2466888557 Reassigns benefits to 1 organization
I20221024001571 OH Practitioner - Nurse Practitioner 2466888557 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5012457NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Nov 1, 2022 Accepting new patients
Health Partners of Western Ohio CurrentSince Nov 1, 2022 Accepting new patients
Columbus Regional Health Network CurrentSince Dec 2, 2019 Accepting new patients
Columbus Regional Health Network Current Accepting new patients
Columbus Regional Health Network CurrentSince Dec 2, 2019 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680

36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064

619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

441 E 8th St
Lima, OH 45804
Phone (419) 221-3723

329 N West St
Lima, OH 45801
Phone (419) 229-6007

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1013567304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014331",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E 8TH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042482",
            "telephone_number": "419-221-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "CASSANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012457",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.024685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.