Individual provider Active NPI

Freddie Preston Paul Stewart, APRN, FNP-C

  • Family Medicine Physician
  • Jackson Center, OH
National Provider Identifier
1528690674
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN.CNP.026276 Issued in OH
Practice address
602 W Pike St
Jackson Center, OH 45334-6011
Phone
(937) 596-6123
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.026276 OH Primary

Addresses

Primary practice location

602 W Pike St
Jackson Center, OH 45334-6011

Mailing address

768 W Parkwood St
Sidney, OH 45365-3625

Other practice location 1

111 E Lynn St
Botkins, OH 45306-8011
Phone (937) 693-1541

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fstewart@wilsonhealth.org Direct
Direct Messaging Address frederick.stewart@wilsonhospital.medicity.net

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
I20200508000435 OH Practitioner - Nurse Practitioner 3274964143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 350
Lima, OH 45801-5901
Phone (419) 228-8950

915 Michigan St
Suite 100
Sidney, OH 45365-2401
Phone 93749459880000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026276OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Care, LLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Feb 1, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

104 Diamond Dr
Anna, OH 45302
Phone (937) 394-2900

111 E Lynn St
Botkins, OH 45306
Phone (937) 693-1541

770 W High St
Ste 350
Lima, OH 45801
Phone (419) 228-8950

11531 State Route 66
Minster, OH 45865
Phone (937) 295-2949

915 Michigan St
Ste 100
Sidney, OH 45365
Phone (937) 419-8049

1079 Fairington Dr
Sidney, OH 45365
Phone (937) 419-8015

915 Michigan St
Ste 204
Sidney, OH 45365
Phone (419) 996-5224

750 S 4th Ave
Sidney, OH 45365
Phone (937) 492-2210

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

1205 Fairington Dr
Sidney, OH 45365
Phone (937) 492-8431

661 N Vandemark Rd
Sidney, OH 45365
Phone (937) 419-5010

Interoperability endpoints

  • Direct secure messaging: fstewart2952751@direct.bsmhealth.org
  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fstewart1544904@direct.osumc.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1528690674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 W PARKWOOD ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W PIKE ST",
            "city": "JACKSON CENTER",
            "state": "OH",
            "postal_code": "453346011",
            "telephone_number": "937-596-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Lynn St",
            "address_purpose": "LOCATION",
            "city": "Botkins",
            "state": "OH",
            "postal_code": "453068011",
            "country_code": "US",
            "telephone_number": "937-693-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "FREDDIE",
        "middle_name": "PRESTON PAUL",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.026276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fstewart@wilsonhealth.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient information",
            "address_1": "602 W Pike St",
            "city": "Jackson Center",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453346011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frederick.stewart@wilsonhospital.medicity.net",
            "affiliation": "N",
            "address_1": "111 E Lynn St",
            "city": "Botkins",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453068011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson Center, OH

Sources for this page

Verify at the official NPI Registry.