Individual provider Active NPI

Elizabeth M Bless, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradford, PA
National Provider Identifier
1467648915
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP020244 Issued in PA
Practice address
110 Campus Dr
Bradford, PA 16701-1982
Phone
(814) 362-6536
Fax
(814) 817-2113
NPI assigned
Sep 19, 2007
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP020244 PA Primary

Addresses

Primary practice location

110 Campus Dr
Bradford, PA 16701-1982

Mailing address

110 Campus Dr
Bradford, PA 16701-1982
Phone (814) 362-6536

Other identifiers 2

IdentifierTypeStateIssuer
05552410MedicaidNY
1036404170002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190429002424 NY Practitioner - Nurse Practitioner 9739421421 Reassigns benefits to 2 organizations
I20191021000016 PA Practitioner - Nurse Practitioner 9739421421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 368-4143

500 Main St
Olean, NY 14760-1514
Phone (716) 701-1541

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital CurrentSince Mar 23, 2019 Accepting new patients
County of Cattaraugus County Treasurer CurrentSince Apr 18, 2022 Accepting new patients
Olean General Hospital Adult Health CurrentSince Aug 5, 2019 Accepting new patients
County of Cattaraugus Psychiatric/Mental Health CurrentSince Apr 18, 2022 Accepting new patients
The Guidance Center CurrentSince Jan 24, 2023 Accepting new patients
Olean General Hospital PastSince Aug 1, 2019 Accepting new patients

Locations

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

1 Leo Moss Dr
Ste 4308
Olean, NY 14760
Phone (716) 373-8040

500 Main St
Olean, NY 14760
Phone (716) 373-2600

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

110 Campus Dr
Bradford, PA 16701
Phone (814) 362-6535

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

116 Interstate Pkwy
Fl 5
Bradford, PA 16701

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

Organizations & group practices 6

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 2

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1467648915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "814-362-6536",
            "fax_number": "814-817-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "814-362-6536",
            "fax_number": "814-817-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLESS",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP020244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05552410",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036404170002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.