Individual provider Active NPI

Marissa Mae Baus, NP

  • Family Nurse Practitioner
  • Wauseon, OH
National Provider Identifier
1376979286
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14750-NP Issued in OH
Practice address
735 S Shoop Ave
Wauseon, OH 43567-1735
Phone
(419) 335-3242
Fax
(419) 335-3222
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14750-NP OH Primary

Addresses

Primary practice location

735 S Shoop Ave
Wauseon, OH 43567-1735

Mailing address

735 S Shoop Ave
Wauseon, OH 43567-1735
Phone (419) 335-3242

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
I20140128000450 OH Practitioner - Nurse Practitioner 6608005459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

735 S Shoop Ave
Suite 4
Wauseon, OH 43567-1735
Phone (419) 335-3242

Hospital & facility affiliations

  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14750-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Redo CurrentSince Oct 20, 2020 Accepting new patients
FCHC Medical Care, LLC CurrentSince Nov 27, 2013 Accepting new patients

Locations

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

7320 State Route 108
Ste A
Wauseon, OH 43567
Phone (419) 285-6655

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

735 S Shoop Ave
Ste 4
Wauseon, OH 43567
Phone (419) 335-3242

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

Interoperability endpoints

  • Direct secure messaging: marissa.baus@fultoncounty.medicity.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1376979286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671735",
            "telephone_number": "419-335-3242",
            "fax_number": "419-335-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671735",
            "telephone_number": "419-335-3242",
            "fax_number": "419-335-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUS",
        "first_name": "MARISSA",
        "middle_name": "MAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14750-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

Verify at the official NPI Registry.