Cassandra Coulter
Individual provider Active NPI Nurse Practitioner · Lima, OH
NPI 1497563282 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1497563282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN.CNP.0038989 (OH)
- Practice address
- 1303 Bellefontaine Ave
Lima, OH 45804-3109 - Phone
- (419) 226-5180
- NPI assigned
- Dec 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250804000705 | OH | Practitioner - Nurse Practitioner | 7911415708 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Nurse Practitioner | Current |
Accepting new patients |
| Lima Memorial Professional Corporation | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
L3982
Columbus, OH 43260
1005 Bellefontaine Ave
Ste 140
Lima, OH 45804
Phone (419) 991-3937
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
602 W Redskin Trl
Wapakoneta, OH 45895
Phone (419) 738-5151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0038989 | OH | Yes |
Addresses
Primary practice location
1303 Bellefontaine Ave
Lima, OH 45804-3109
Mailing address
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 226-5018
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.