Individual provider Active NPI

Amanda Mae Bashline

  • Advanced Practice Midwife
  • Warren, OH
National Provider Identifier
1235860503
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
627 Eastland Ave SE Ste 302
Warren, OH 44484-4501
Phone
(330) 841-4975
Fax
(330) 841-4979
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

627 Eastland Ave SE Ste 302
Warren, OH 44484-4501

Mailing address

627 Eastland Ave SE Ste 302
Warren, OH 44484-4501
Phone (330) 841-4975

Other practice location 1

2031 Belmont Ave Ste B
Youngstown, OH 44505-2401
Phone (330) 480-3033

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220907001029 PA Practitioner - Certified Nurse Midwife (CNM) 0143604371 Reassigns benefits to 1 organization
I20240926003708 OH Practitioner - Certified Nurse Midwife (CNM) 0143604371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-8718

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Advanced Practice Midwife CurrentSince Sep 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 12, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 12, 2024 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

627 Eastland Ave SE
Ste 302
Warren, OH 44484
Phone (330) 841-4975

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

2031 Belmont Ave
Ste B
Youngstown, OH 44505
Phone (330) 480-3033

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

2599 Wexford Bayne Rd
Ste 1000A
Sewickley, PA 15143

2599 Wexford Bayne Rd
Sewickley, PA 15143
Phone (724) 933-3644

Interoperability endpoints

  • Direct secure messaging: abashline2667491@direct.bsmhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1235860503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE STE 302",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4975",
            "fax_number": "330-841-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE STE 302",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4975",
            "fax_number": "330-841-4979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2031 Belmont Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445052401",
            "country_code": "US",
            "telephone_number": "330-480-3033",
            "fax_number": "330-480-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHLINE",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.