Kerry William Michael Bludnick, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.019474 Issued in OH

Practice address

22952 Bolender Pontius Rd
Circleville, OH 43113-9040

Phone

(740) 252-8994

NPI assigned

Oct 5, 2016

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• 4M Hospitalist Services, LLC

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1508288531
  Medicare reassignment NPD
• Emergency Medicine Physicians of Lancaster, LTD.

  • Emergency Medicine Physician
  • Lancaster, OH
  • NPI 1881025344
  Medicare reassignment NPD
• Ohio Emergency Care Services, Inc

  • Emergency Medicine Physician
  • Delaware, OH
  • NPI 1184028524
  Medicare reassignment NPD
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment NPD
• Emergency Professional Services, Inc.

  dba Emergency Professional Services of Ohio, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment
• Osu Emergency Medicine LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Columbus, OH
  • NPI 1699705681
  NPD

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1205386018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22952 BOLENDER PONTIUS RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139040",
            "telephone_number": "740-252-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22952 BOLENDER PONTIUS RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139040",
            "telephone_number": "740-252-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUDNICK",
        "first_name": "KERRY",
        "middle_name": "WILLIAM MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-03-15",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019474",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald A. Blair, CRNA
• Kimberly Lerae Blair, STNA
• Courtney Michelle Blankenship, PTA
• Anthony Blevins, D.C.
• Mitchell Block
• Renee K Boardman
• Angela Boedeker, CNP
• John Gregory Bohlen, MD
• Juliana Boldoser
• Vernon Glick Bolender, MD

• Family Nurse Practitioner in Circleville, OH
• Providers in Circleville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.