NPIMap

Individual provider Active NPI

Adam Robert Osterhage, CNP

  • Nurse Practitioner
  • Lima, OH
National Provider Identifier
1083141337
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRNCNP021865 Issued in OH
Practice address
967 Bellefontaine Ave
Lima, OH 45804
Phone
(419) 996-5895
Fax
(419) 996-5896
NPI assigned
May 17, 2017
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRNCNP021865 OH Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.021865 OH
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

967 Bellefontaine Ave
Lima, OH 45804

Mailing address

967 Bellefontaine Ave
Lima, OH 45804-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171103002557 OH Practitioner - Nurse Practitioner 4688930811 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

967 Bellefontaine Ave
Lima, OH 45804-2888
Phone (419) 996-5895

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRNCNP021865OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lima, LLC CurrentSince Apr 15, 2018 Accepting new patients
Mercy Emergency Care Services, Inc. Nurse Practitioner CurrentSince Nov 1, 2017 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Sep 4, 2018 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Sep 4, 2018 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

1426 Scott St
Napoleon, OH 43545
Phone (419) 599-5600

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1083141337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45804",
            "telephone_number": "419-996-5895",
            "fax_number": "419-996-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERHAGE",
        "first_name": "ADAM",
        "middle_name": "ROBERT",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNP021865",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021865",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.