Individual provider Active NPI

Kimberly Michelle Bazen, FNP-C

  • Family Nurse Practitioner
  • Napoleon, OH
National Provider Identifier
1629691597
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0026746 Issued in OH
Practice address
16203 County Road 424
Napoleon, OH 43545-9609
Phone
(419) 762-5882
NPI assigned
May 26, 2020
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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.0026746 OH Primary

Addresses

Primary practice location

16203 County Road 424
Napoleon, OH 43545-9609

Mailing address

16203 County Road 424
Napoleon, OH 43545-9609
Phone (419) 762-5882

Other practice location 1

11690 Grooms Rd
Blue Ash, OH 45242-1412
Phone (812) 284-2273

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
I20200814002440 OH Practitioner - Nurse Practitioner 1658797014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11690 Grooms Rd
Blue Ash, OH 45242-1412
Phone (812) 284-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0026746OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Nov 22, 2021 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Oct 9, 2024 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Nov 22, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Nov 22, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Nov 22, 2021 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Oct 9, 2024 Accepting new patients
Transitions Health Network LLC Family Past Accepting new patients

Locations

11690 Grooms Rd
Blue Ash, OH 45242
Phone (317) 870-1396

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

Interoperability endpoints

  • Direct secure messaging: kimberly.bazennp.p1@direct.whc.nextgenshare.com

Organizations & group practices 7

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1629691597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16203 COUNTY ROAD 424",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459609",
            "telephone_number": "419-762-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16203 COUNTY ROAD 424",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459609",
            "telephone_number": "419-762-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11690 Grooms Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452421412",
            "country_code": "US",
            "telephone_number": "812-284-2273",
            "fax_number": "812-284-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZEN",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0026746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

Verify at the official NPI Registry.