Caroline Dora Block-Wilkins, PMHNP-BC, CPNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.023019 Issued in OH

Practice address

5239 Columbus Rd Ste a
Granville, OH 43023-9624

Phone

(614) 924-7412

Fax

(614) 683-5850

NPI assigned

Aug 15, 2018

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birch Wellness Group LLCGroup PAC ID 4284072687, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• Birch Wellness Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Granville, OH
  • NPI 1427811280
  Medicare reassignment Care Compare group NPD
• Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Kettering, OH
  • NPI 1619090750
  NPD (past)
• Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Vandalia, OH
  • NPI 1699921932
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1023598414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E MAYNARD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432022941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 COLUMBUS RD STE A",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239624",
            "telephone_number": "614-924-7412",
            "fax_number": "614-683-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK-WILKINS",
        "first_name": "CAROLINE",
        "middle_name": "DORA",
        "credential": "PMHNP-BC, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023019",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.023019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Melville Bickle, OD
• Katherine Bickle, O.D.
• Birch Wellness Group LLC
• James R Biven Jr., LHAS,IIHIS,BA
• Jacqueline Blackburn
• Blue Horizon Consulting, LLC
• David Ervin Born, MD
• Megan Boshers, DPT
• Kelley Jo Breidigan, MSW, LISW
• Brian Barkett, Psy.D LLC (Better Minds Group)

• Psychiatric/Mental Health Nurse Practitioner in Granville, OH
• Providers in Granville, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.