Individual provider Active NPI

Nicholas Tanner Barnes, D.O.

  • Family Medicine Physician
  • Delta, OH
National Provider Identifier
1376939173
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013236 Issued in OH
Practice address
6696 US Highway 20a
Delta, OH 43515-9799
Phone
(419) 822-3242
Fax
(419) 822-9008
NPI assigned
Apr 8, 2015
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 34.013236 OH Primary

Addresses

Primary practice location

6696 US Highway 20a
Delta, OH 43515-9799

Mailing address

6696 US Highway 20a
Delta, OH 43515-9799
Phone (198) 223-2424

Other practice location 1

2100 W Central Ave
Suite #200
Toledo, OH 43606-3800
Phone (419) 291-2340

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926003418 OH Practitioner - Family Practice 5395058820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

1222 Pray Blvd
Waterville, OH 43566-8717
Phone (419) 964-5140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.013236OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FCHC Medical Care, LLC CurrentSince Aug 1, 2018 Accepting new patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Oct 8, 2023 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Oct 8, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

6696 US Highway 20A
Delta, OH 43515
Phone (419) 335-3242

124 W Main St
Fayette, OH 43521
Phone (419) 237-2501

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

1222 Pray Blvd
Waterville, OH 43566
Phone (419) 441-4252

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

735 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2663

Interoperability endpoints

  • Direct secure messaging: nbarnes1861163@direct.bsmhealth.org
  • Direct secure messaging: nicholas.barnes@fultoncounty.medicity.net

Organizations & group practices 4

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1376939173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6696 US HIGHWAY 20A",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159799",
            "telephone_number": "198-223-2424",
            "fax_number": "419-822-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6696 US HIGHWAY 20A",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159799",
            "telephone_number": "419-822-3242",
            "fax_number": "419-822-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W Central Ave",
            "address_2": "Suite #200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063800",
            "country_code": "US",
            "telephone_number": "419-291-2340",
            "fax_number": "419-479-6952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "NICHOLAS",
        "middle_name": "TANNER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, OH

Sources for this page

Verify at the official NPI Registry.