Mary Ames, NP
Individual provider Active NPI Family Nurse Practitioner · North Fairfield, OH
NPI 1073590964 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1073590964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP08465 (OH)
- Practice address
- 115 N Main St
North Fairfield, OH 44855-9602 - Phone
- (419) 744-2249
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051026000126 | OH | Practitioner - Nurse Practitioner | 1153348511 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP08465 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher-Titus Medical Center | Current | Accepting new patients | |
| Wakeman Area Family Care Center | Family | Past | Accepting new patients |
| New London Family Practice,LLC | Past |
Accepting new patients |
Locations
521 N Sandusky St
Bellevue, OH 44811
Phone (419) 483-2190
1355 W Main St
Ste D
Bellevue, OH 44811
Phone (419) 483-1001
368 Milan Ave
Ste D
Norwalk, OH 44857
Phone (419) 663-6464
278 Benedict Ave
Ste 800
Norwalk, OH 44857
Phone (419) 668-5222
272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341
230 E Walton St
Ste B
Willard, OH 44890
Phone (419) 935-0196
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP08465 | OH | Yes |
Addresses
Primary practice location
115 N Main St
North Fairfield, OH 44855-9602
Mailing address
115 N Main St
North Fairfield, OH 44855-9602
Phone (419) 744-2249
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2603098 | Medicaid | OH |
Other providers in North Fairfield, OH
All providers in North Fairfield, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.