Individual provider Active NPI

Mary Ann Collier, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Amelia, OH
National Provider Identifier
1497279673
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
LE-00020471 Issued in OH
Practice address
43 E Main St
Amelia, OH 45102-1993
Phone
(513) 505-6612
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LE-00020471 OH Primary

Addresses

Primary practice location

43 E Main St
Amelia, OH 45102-1993

Mailing address

43 E Main St
Amelia, OH 45102-1993
Phone (513) 505-6612

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
I20190111001851 OH Practitioner - Nurse Practitioner 9335485317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Cincinnati Behavioral Health ServicesGroup PAC ID 3870498355, 38 clinicians

Practice addresses (Care Compare)

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00020471OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Behavioral Health Services CurrentSince Jun 28, 2021 Accepting new patients
Greater Cincinnati Behavioral Health Services Current Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince Jun 28, 2021 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

43 E Main St
Amelia, OH 45102
Phone (513) 947-7000

1060 Nimitzview Dr
Ste 100
Cincinnati, OH 45230
Phone (513) 232-3070

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Interoperability endpoints

  • Direct secure messaging: mcollier587574@direct.bsmhealth.org

Organizations & group practices 4

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1497279673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021993",
            "telephone_number": "513-505-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021993",
            "telephone_number": "513-505-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "LE-00020471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

Verify at the official NPI Registry.