Individual provider Active NPI

Elizabeth Lauren Niemiec, PA-C

  • Medical Physician Assistant
  • Columbus, OH
National Provider Identifier
1720904394
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.0099997RX Issued in OH
Practice address
680 Buckles CT N Ste 1a
Columbus, OH 43230-6928
Phone
(614) 986-0125
Fax
(614) 237-1646
NPI assigned
Jun 26, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.0099997RX OH Primary

Addresses

Primary practice location

680 Buckles CT N Ste 1a
Columbus, OH 43230-6928

Mailing address

680 Buckles CT N Ste 1a
Columbus, OH 43230-6928
Phone (614) 986-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3825 Trueman CT
Hilliard, OH 43026-2496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.0099997RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Ohio, LLC CurrentSince Aug 20, 2026 Accepting new patients
American Health Network of Ohio, LLC Family Medicine PastSince Aug 20, 2026 Accepting new patients

Locations

680 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 986-0125

680 Buckles Ct N
Ste 1A
Gahanna, OH 43230
Phone (614) 986-0125

4072 Gantz Rd
Grove City, OH 43123
Phone (614) 875-0011

Organizations & group practices 2

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": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1720904394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BUCKLES CT N STE 1A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432306928",
            "telephone_number": "614-986-0125",
            "fax_number": "614-237-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BUCKLES CT N STE 1A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432306928",
            "telephone_number": "614-986-0125",
            "fax_number": "614-237-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "ELIZABETH",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.0099997RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.