Charity Mott, CNP – Nurse Practitioner in Bryan, OH

Key facts

NPI: 1124524731
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: APRN.CNP.022639 (OH)
Practice address: 442 W High St
Bryan, OH 43506-1681
Phone: (419) 636-4517
NPI assigned: Apr 3, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Michigan Emergency Physicians, LLP Emergency Medicine Physician · Three Rivers, MI · NPI 1205075074

Medicare reassignment Care Compare group NPD MI
Michigan Emergency Physicians LLP Emergency Medicine Physician · Hillsdale, MI · NPI 1770820953

NPD NURSE PRACTITIONER
Lima Memorial Joint Operating Company General Acute Care Hospital · Lima, OH · NPI 1336144732

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Hillsdale Community Health Center General Acute Care Hospital · Hillsdale, MI · NPI 1730115940

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Michigan Emergency Physicians, LLP (11 clinicians)

Practice addresses (Care Compare)

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5125

Hospital & facility affiliations

Hillsdale Hospital Hospital · Hillsdale, MI · CCN 230037

Merit-based Incentive Payment System (MIPS)

Final score: 100 of 100 (group)
Quality: 96.63
Improvement activities: 40
Cost: 81.81

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
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
I20231117002178	MI	Practitioner - Nurse Practitioner	7315281789	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Practitioner, Nurse Practitioner

State licenses

License	State	Type	Specialty
APRN.CNP.022639	OH	MD	Nurse Practitioner
RN.335913	OH	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Michigan Emergency Physicians, LLP		Current	Accepting new patients
Michigan Emergency Physicians LLP	Nurse Practitioner	Current since Oct 7, 2023	Accepting new patients
Lima Memorial Joint Operating Company		Past	Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	RN.335913	OH
Nurse Practitioner	363L00000X	APRN.CNP.022639	OH	Yes

Addresses

Primary practice location

442 W High St
Bryan, OH 43506-1681

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other providers in Bryan, OH

All providers in Bryan, OH · 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 Jul 7, 2021. 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).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.