Individual provider Active NPI

Amber Diane Casbohm, CNP

  • Family Nurse Practitioner
  • Vermilion, OH
National Provider Identifier
1487317780
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029898 Issued in OH
Practice address
1607 State Rd
Vermilion, OH 44089-9142
Phone
(440) 967-8713
Fax
(440) 967-1938
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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.0029898 OH Primary

Addresses

Primary practice location

1607 State Rd
Vermilion, OH 44089-9142

Mailing address

1607 State Rd
Vermilion, OH 44089-9142
Phone (440) 967-8713

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
I20211213001600 OH Practitioner - Nurse Practitioner 7012307705 Reassigns benefits to 4 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
Mercy Health-Allen Hospital LLCGroup PAC ID 5092802389, 14 clinicians

Practice addresses (Care Compare)

840 Patriot Dr
Wellington, OH 44090-8948
Phone (440) 647-2225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Signify Health, LLC CurrentSince Dec 14, 2023 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Jan 3, 2022 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1607 State Route 60
Ste 6
Vermilion, OH 44089
Phone (440) 934-8344

1607 State Rd
Vermilion, OH 44089
Phone (440) 967-8713

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: acasbohm231535@direct.bsmhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1487317780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 STATE RD",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899142",
            "telephone_number": "440-967-8713",
            "fax_number": "440-967-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 STATE RD",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899142",
            "telephone_number": "440-967-8713",
            "fax_number": "440-967-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASBOHM",
        "first_name": "AMBER",
        "middle_name": "DIANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.