Individual provider Active NPI

Emily Renee Blackmore, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1659620490
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13734 Issued in OH
Practice address
7630 Rivers Edge Dr
Columbus, OH 43235-1329
Phone
(614) 533-4998
Fax
(614) 533-4045
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13734 OH Primary

Addresses

Primary practice location

7630 Rivers Edge Dr
Columbus, OH 43235-1329

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

1005 Bellefontaine Ave Ste 140
Lima, OH 45804-4800
Phone (419) 998-8291

Other practice location 2

1005 Bellefontaine Ave Ste 260
Lima, OH 45804-2883
Phone (419) 998-8291

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address emily.blackmore@lmpc.eclinicaldirectplus.com
Direct Messaging Address eblackmore1105494@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20121019000303 OH Practitioner - Nurse Practitioner 7416107883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

7630 Rivers Edge Dr
Columbus, OH 43235-1329
Phone (614) 533-4000

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13734OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Aug 1, 2024 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jul 1, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cole-Sedivy & Casey, Inc PastSince Dec 1, 2002 Accepting new patients

Locations

7630 Rivers Edge Dr
Columbus, OH 43235
Phone (614) 533-4000

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

L3982
Columbus, OH 43260

Dept L3652
Columbus, OH 43260

1005 Bellefontaine Ave
Ste 230
Lima, OH 45804
Phone (419) 227-7702

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1005 Bellefontaine Ave
Ste 260
Lima, OH 45804
Phone (419) 223-1702

1005 Bellefontaine Ave
Ste 140
Lima, OH 45804
Phone (419) 991-3937

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 2

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1659620490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 RIVERS EDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351329",
            "telephone_number": "614-533-4998",
            "fax_number": "614-533-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Bellefontaine Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458044800",
            "country_code": "US",
            "telephone_number": "419-998-8291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Bellefontaine Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042883",
            "country_code": "US",
            "telephone_number": "419-998-8291",
            "fax_number": "419-998-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMORE",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "13734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.blackmore@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1005 Bellefontaine Ave Ste 260",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eblackmore1105494@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "7630 Rivers Edge Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432351329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.