Individual provider Active NPI

Alyssa Nicole Bledsoe, APRN-CNM

  • Advanced Practice Midwife
  • Mentor, OH
National Provider Identifier
1073322277
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.0019663 Issued in OH
Practice address
8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone
(440) 357-7100
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.0019663 OH Primary

Addresses

Primary practice location

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251

Mailing address

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone (440) 357-7100

Other practice location 1

9500 Mentor Ave Ste 220
Mentor, OH 44060-8714
Phone (440) 357-7100

Other identifiers 2

IdentifierTypeStateIssuer
0890175MedicaidOH
0114020MedicaidOH

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722003795 OH Practitioner - Certified Nurse Midwife (CNM) 8426573270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Obstetrics and Gynecology, IncGroup PAC ID 5799794350, 6 clinicians

Practice addresses (Care Compare)

9500 Mentor Ave
Mentor, OH 44060-8714
Phone (440) 357-7100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Obstetrics and Gynecology, Inc CurrentSince Apr 12, 2025 Accepting new patients
Lake Obstetrics and Gynecology, Inc Current Accepting new patients

Locations

7580 Auburn Rd
Ste 313
Concord Township, OH 44077
Phone (440) 330-8649

9500 Mentor Ave
Ste 220
Mentor, OH 44060
Phone (440) 357-7100

8300 Tyler Blvd
Ste 300
Mentor, OH 44060
Phone (440) 205-1529

9500 Mentor Ave
Mentor, OH 44060
Phone (440) 255-5506

Interoperability endpoints

  • Direct secure messaging: abledsoe40945@ehrdirect.uhhospitals.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.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1073322277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-357-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-357-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Mentor Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440608714",
            "country_code": "US",
            "telephone_number": "440-357-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0890175",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.