Individual provider Active NPI

Jamie Babcock, NP-C

  • Adult Health Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1508121708
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13398 Issued in OH
Practice address
970 W Wooster St
Bowling Green, OH 43402-2643
Phone
(419) 352-5899
NPI assigned
Jul 12, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13398 OH Primary
Registered Nurse 163W00000X 333100 OH

Addresses

Primary practice location

970 W Wooster St
Bowling Green, OH 43402-2643

Mailing address

220 Maple St
Woodville, OH 43469-1143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, NY, LA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20130129000060 OH Practitioner - Nurse Practitioner 1557515574
I20240917002442 FL Practitioner - Nurse Practitioner 1557515574
I20241003002423 NY Practitioner - Nurse Practitioner 1557515574 Reassigns benefits to 1 organization
I20250217001869 LA Practitioner - Nurse Practitioner 1557515574 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333100OHMDRegistered Nurse
13398OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mylaurel Medical Group Oh, LLC CurrentSince Jan 7, 2025 Accepting new patients
Mylaurel Medical Group la, LLC CurrentSince Feb 1, 2025 Accepting new patients
Mylaurel Medical Group Ny, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Virta Medical P.C. PastSince Aug 1, 2025 Accepting new patients

Locations

824 Elmwood Park Blvd
Ste 135
New Orleans, LA 70123
Phone (504) 266-2576

949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255

885 3rd Ave
Fl 29
New York, NY 10022
Phone (866) 603-7803

1201 Dublin Rd
#609
Columbus, OH 43215
Phone (614) 403-6182

Interoperability endpoints

  • Direct secure messaging: jamie.babcock.1@25238.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1508121708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAPLE ST",
            "city": "WOODVILLE",
            "state": "OH",
            "postal_code": "434691143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022643",
            "telephone_number": "419-352-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "13398",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "333100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.