Individual provider Active NPI

Angela Marie Blose, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1467027292
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028960 Issued in OH
Practice address
3672 Bushmill Falls Dr
Columbus, OH 43221-4400
Phone
(614) 946-7573
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 APRN.CNP.0028960 OH Primary

Addresses

Primary practice location

3672 Bushmill Falls Dr
Columbus, OH 43221-4400

Mailing address

3672 Bushmill Falls Dr
Columbus, OH 43221-4400
Phone (614) 946-7573

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
I20211129001124 OH Practitioner - Nurse Practitioner 6103216510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Associates of de LLCGroup PAC ID 2466871694, 81 clinicians

Practice addresses (Care Compare)

200 Public SQ
Suite 2300
Cleveland, OH 44114-2309
Phone 44338393001055

24 N Hamilton St
Minster, OH 45865-1117
Phone (443) 383-9300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Sep 7, 2021 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (216) 291-1845

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1467027292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 BUSHMILL FALLS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432214400",
            "telephone_number": "614-946-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 BUSHMILL FALLS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432214400",
            "telephone_number": "614-946-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSE",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.