Individual provider Active NPI

Mary Ames, NP

  • Family Nurse Practitioner
  • North Fairfield, OH
National Provider Identifier
1073590964
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP08465 Issued in OH
Practice address
115 N Main St
North Fairfield, OH 44855-9602
Phone
(419) 744-2249
NPI assigned
Dec 30, 2005
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP08465 OH Primary

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

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
I20051026000126 OH Practitioner - Nurse Practitioner 1153348511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP08465OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Center Current Accepting new patients
New London Family Practice,LLC PastSince Mar 1, 2008 Accepting new patients
Wakeman Area Family Care Center Family Past Accepting new patients

Locations

1355 W Main St
Ste D
Bellevue, OH 44811
Phone (419) 483-1001

521 N Sandusky St
Bellevue, OH 44811
Phone (419) 483-2190

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 423-5197

278 Benedict Ave
Ste 800
Norwalk, OH 44857
Phone (419) 668-5222

368 Milan Ave
Ste D
Norwalk, OH 44857
Phone (419) 663-6464

230 E Walton St
Ste B
Willard, OH 44890
Phone (419) 935-0196

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1073590964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "NORTH FAIRFIELD",
            "state": "OH",
            "postal_code": "448559602",
            "telephone_number": "419-744-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "NORTH FAIRFIELD",
            "state": "OH",
            "postal_code": "448559602",
            "telephone_number": "419-744-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP08465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fairfield, OH

Sources for this page

Verify at the official NPI Registry.