Active NPI
Elizabeth M Bless, NP
- Psychiatric/Mental Health Nurse Practitioner
- Bradford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP020244
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05552410 | Medicaid | NY | |
| 1036404170002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olean General Hospital | Current | Accepting new patients | |
| County of Cattaraugus County Treasurer | Current | Accepting new patients | |
| Olean General Hospital | Adult Health | Current | Accepting new patients |
| County of Cattaraugus | Psychiatric/Mental Health | Current | Accepting new patients |
| The Guidance Center | Current | Accepting new patients | |
| Olean General Hospital | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bradford, PA
- NPI 1831256015
-
dba Dept of Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olean, NY
- NPI 1659414696
Psychiatric/Mental Health
-
- Home Health Agency
- Olean, NY
- NPI 1336183805
-
dba Foothills Medical Group
- General Practice Physician
- Olean, NY
- NPI 1033499017
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Olean, NY
- NPI 1740333681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.