Individual provider Active NPI

Lyn Patusky, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Bellefontaine, OH
National Provider Identifier
1568096485
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026115 Issued in OH
Practice address
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone
(937) 592-4039
NPI assigned
Feb 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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.026115 OH Primary

Addresses

Primary practice location

205 E Palmer Rd
Bellefontaine, OH 43311-2281

Mailing address

6961 State Route 56
Mechanicsburg, OH 43044-9719
Phone (513) 504-7794

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lyn.patusky@maryrutan.org

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
I20210903001500 OH Practitioner - Nurse Practitioner 3375949076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Hospital & facility affiliations

  • Otterbein Universal Home Health & Hospice Home health agency, Bellefontaine, OH, CCN 367404
  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
  • Memorial Hospital Hospital, Marysville, OH, CCN 360092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital CurrentSince Sep 1, 2021 Accepting new patients
Mary Rutan Hospital CurrentSince Sep 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

Interoperability endpoints

  • Direct secure messaging: lyn.patusky@maryrutan.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1568096485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 STATE ROUTE 56",
            "city": "MECHANICSBURG",
            "state": "OH",
            "postal_code": "430449719",
            "telephone_number": "513-504-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATUSKY",
        "first_name": "LYN",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lyn.patusky@maryrutan.org",
            "affiliation": "N",
            "address_1": "205 E Palmer Rd",
            "city": "Bellefontaine",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433112281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.