Individual provider Active NPI

Beverly Foltz, NP

  • Family Medicine Physician
  • Oregon, OH
National Provider Identifier
1043979255
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LE-00036812 Issued in OH
Practice address
2751 Bay Park Dr Ste 302
Oregon, OH 43616-4922
Phone
(419) 690-7686
NPI assigned
Dec 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LE-00036812 OH Primary

Addresses

Primary practice location

2751 Bay Park Dr Ste 302
Oregon, OH 43616-4922

Mailing address

28963 Belmont Farm Rd
Perrysburg, OH 43551-3795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bfoltz240868@epicdirect.promedica.org

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
I20220401001921 OH Practitioner - Nurse Practitioner 8123414075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2751 Bay Park Dr
Suite 202
Oregon, OH 43616-4922
Phone (419) 690-7550

Hospital & facility affiliations

  • Elara Caring Home health agency, Toledo, OH, CCN 367730
  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00036812OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Family Medicine CurrentSince Jan 22, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Jan 22, 2022 Accepting new patients

Locations

2751 Bay Park Dr
Ste 302
Oregon, OH 43616
Phone (419) 690-7550

2751 Bay Park Dr
Ste 202
Oregon, OH 43616
Phone (419) 690-7550

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: bfoltz240868@direct.promedica.org

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1043979255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28963 BELMONT FARM RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR STE 302",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164922",
            "telephone_number": "419-690-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "BEVERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-11-03",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "LE-00036812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfoltz240868@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.