Individual provider Active NPI

Heather Bayless

  • Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1295149557
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
129 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504
Phone
(330) 480-3667
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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 129 OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504

Mailing address

12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Phone (240) 686-2300

Other practice location 1

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-3667

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
I20140909001698 OH Practitioner - Nurse Practitioner 2264650472 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
78.7
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
4M Hospitalist Services, LLC Nurse Practitioner CurrentSince Oct 15, 2016 Accepting new patients
Mahoning Valley Emergency Specialists LLC CurrentSince Jul 1, 2016 Accepting new patients
Mves Boardman LLC CurrentSince Jul 20, 2019 Accepting new patients
Magis Emergency Medicine LLC CurrentSince Jul 1, 2016 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jul 1, 2022 Accepting new patients
Mves Austintown LLC CurrentSince Jul 1, 2016 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Jul 1, 2022 Accepting new patients
Ohman Family Living Medical Services LLC CurrentSince Mar 13, 2025 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

7160 Chagrin Rd
Chagrin Falls, OH 44023
Phone (440) 338-2320

7160 Chagrin Rd
Ste 210
Chagrin Falls, OH 44023

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

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

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

5170 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-1080

Organizations & group practices 9

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1295149557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 MILESTONE CENTER DR STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767111",
            "telephone_number": "240-686-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44504",
            "telephone_number": "330-480-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44504",
            "country_code": "US",
            "telephone_number": "330-480-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.