NPIMap

Individual provider Active NPI

Kristine Renee Bellman, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1144944687
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0032412 Issued in OH
Practice address
2740 W Market St
Lima, OH 45805-2120
Phone
(419) 879-2500
Fax
(419) 879-2461
NPI assigned
Sep 28, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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 0032412 OH Primary

Addresses

Primary practice location

2740 W Market St
Lima, OH 45805-2120

Mailing address

2740 W Market St
Lima, OH 45805-2120
Phone (419) 879-2500

Other identifiers 1

IdentifierTypeStateIssuer
0032412OtherOHLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@cancercare.oncoemrdirect.com Health Information Exchange (HIE)

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
I20230120001122 OH Practitioner - Nurse Practitioner 6901272053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David D Powell, D.O. P.C. Inc.Group PAC ID 0941205249, 2 clinicians

Practice addresses (Care Compare)

2740 W Market St
Lima, OH 45805-2120
Phone (419) 221-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0032412OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David D Powell, D.O. P.C. Inc. CurrentSince Oct 4, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2740 W Market St
Lima, OH 45805
Phone (419) 221-2273

Interoperability endpoints

  • Direct secure messaging: admin@cancercare.oncoemrdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1144944687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052120",
            "telephone_number": "419-879-2500",
            "fax_number": "419-879-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052120",
            "telephone_number": "419-879-2500",
            "fax_number": "419-879-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLMAN",
        "first_name": "KRISTINE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0032412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0032412",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@cancercare.oncoemrdirect.com",
            "affiliation": "N",
            "endpointDescription": "General Inbox for referral information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2740 W Market St",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458052120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.