Individual provider Active NPI

Bailey Jo Fijalkowski, APRN

  • Nurse Practitioner
  • Saint Clairsville, OH
National Provider Identifier
1174358386
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0037476 Issued in OH
Practice address
100 Pine Ave
Saint Clairsville, OH 43950-8737
Phone
(740) 695-4925
NPI assigned
Sep 6, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0037476 OH Primary

Addresses

Primary practice location

100 Pine Ave
Saint Clairsville, OH 43950-8737

Mailing address

623 Park St
Barnesville, OH 43713-1156
Phone (304) 218-3031

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
I20241122000370 OH Practitioner - Nurse Practitioner 4183159510 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Mar 1, 2026 Accepting new patients
Cornerstone Nurse Practitioners of Ohio LLC Nurse Practitioner CurrentSince Sep 26, 2024 Accepting new patients

Locations

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

98 S 30th St
Newark, OH 43055
Phone (740) 344-0303

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.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1174358386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 PARK ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131156",
            "telephone_number": "304-218-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINE AVE",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508737",
            "telephone_number": "740-695-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIJALKOWSKI",
        "first_name": "BAILEY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0037476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.