Individual provider Active NPI

Gwendolyn Blanchard-Baugh, APRN, NP-C

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1063833382
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.14392 Issued in OH
Practice address
3000 Corporate Exchange Dr
Columbus, OH 43231-7689
Phone
(888) 562-5442
Fax
(562) 276-4825
NPI assigned
Jan 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN.269003-COA1 OH
Adult Health Nurse Practitioner 363LA2200X COA.14392-NP OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.14392 OH Primary

Addresses

Primary practice location

3000 Corporate Exchange Dr
Columbus, OH 43231-7689

Mailing address

200 Oceangate
#100
Long Beach, CA 90802-4317
Phone (562) 499-6191

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
I20250512001942 OH Practitioner - Nurse Practitioner 3678796380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11544 Springfield Pike
Springdale, OH 45246-3516

41800 W 11 Mile Rd
Suite 109
Novi, MI 48375-1818

424 Church St
Nashville, TN 37219-2301

9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5172

PO Box
Cincinnati, OH 45263

PO Box
Detroit, MI 48277

PO Box
Suite 772290
Detroit, MI 48277-2290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.14392OHMDAdult Health Nurse Practitioner
COA.14392-NPOHMDAdult Health Nurse Practitioner
RN.269003-COA1OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Oct 26, 2025 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 11, 2025 Accepting new patients
Theoria Medical CurrentSince Mar 24, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Nov 1, 2025 Accepting new patients
Cornerstone Empowerment Agency Current Accepting new patients
CNP Operating Co LLC CurrentSince Nov 2, 2025 Accepting new patients
Reign Telemed Adult Health Current Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

5900 Meadow Creek Dr
Milford, OH 45150
Phone (513) 248-1655

7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

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": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1063833382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "#100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-276-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE EXCHANGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317689",
            "telephone_number": "888-562-5442",
            "fax_number": "562-276-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD-BAUGH",
        "first_name": "GWENDOLYN",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN.269003-COA1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.14392-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.14392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.