Individual provider Active NPI

Mary Elisabeth Bishop, CNP

  • Family Nurse Practitioner
  • Upper Arlington, OH
National Provider Identifier
1023440666
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14932-NP Issued in OH
Practice address
3924 Mountview Rd
Upper Arlington, OH 43220-4806
Phone
(614) 776-4379
Fax
(614) 569-2257
NPI assigned
Aug 6, 2013
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.14932-NP OH Primary

Addresses

Primary practice location

3924 Mountview Rd
Upper Arlington, OH 43220-4806

Mailing address

PO Box 21351
Columbus, OH 43221-0351
Phone (614) 776-4379

Other identifiers 1

IdentifierTypeStateIssuer
0089777MedicaidOH

Other names 1

  • Mary Elisabeth Baker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130906000819 OH Practitioner - Nurse Practitioner 8426291667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy AllianceGroup PAC ID 0749305308, 10 clinicians

Practice addresses (Care Compare)

4660 Trueman Blvd
Hilliard, OH 43026-2438
Phone (614) 771-4400

6690 Liberation Way
New Albany, OH 43054-2532
Phone (614) 981-6854

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14932-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Alliance CurrentSince Aug 25, 2013 Accepting new patients

Locations

880 Greenlawn Ave
Columbus, OH 43223
Phone (614) 445-4600

4660 Trueman Blvd
Hilliard, OH 43026
Phone (614) 771-4400

Interoperability endpoints

  • Direct secure messaging: mary.baker.1@15614.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1023440666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21351",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432210351",
            "telephone_number": "614-776-4379",
            "fax_number": "614-569-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 MOUNTVIEW RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432204806",
            "telephone_number": "614-776-4379",
            "fax_number": "614-569-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARY",
        "middle_name": "ELISABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14932-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BAKER",
            "middle_name": "ELISABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Upper Arlington, OH

Sources for this page

Verify at the official NPI Registry.