Individual provider Active NPI

David Benjamin Blankenbeckley

  • Primary Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1043798937
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.023262 Issued in OH
Practice address
3 Nationwide PLZ Ste 150
Columbus, OH 43215
Phone
(614) 788-4066
NPI assigned
Aug 1, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.023262 OH Primary

Addresses

Primary practice location

3 Nationwide PLZ Ste 150
Columbus, OH 43215

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102

Other practice location 1

180 E Broad St Fl 30
Columbus, OH 43215-3707
Phone (614) 544-4225

Other practice location 2

180 E Broad St Fl 30
Columbus, OH 43215-3707
Phone (614) 544-4225

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
I20181030003218 OH Practitioner - Nurse Practitioner 4688927155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

7630 Rivers Edge Dr
Columbus, OH 43235-1329
Phone (614) 566-2680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023262OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2018 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

3 Nationwide Plz
Ste 150
Columbus, OH 43215
Phone (614) 788-4066

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

7630 Rivers Edge Dr
Columbus, OH 43235
Phone (614) 533-4000

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 3

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1043798937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NATIONWIDE PLZ STE 150",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-788-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Broad St Fl 30",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153707",
            "country_code": "US",
            "telephone_number": "614-544-4225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 E Broad St Fl 30",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153707",
            "country_code": "US",
            "telephone_number": "614-544-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENBECKLEY",
        "first_name": "DAVID",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.023262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.