Individual provider Active NPI

Amanda Nichole Bliemeister, PHD, MSN, CNP-BC, RN

  • Adult Health Nurse Practitioner
  • Marion, OH
National Provider Identifier
1770157992
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.0028551 Issued in OH
Practice address
1050 Delaware Ave
Marion, OH 43302-6416
Phone
(740) 383-7980
Fax
(740) 383-3040
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN423698 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0028551 OH Primary

Addresses

Primary practice location

1050 Delaware Ave
Marion, OH 43302-6416

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (616) 828-3490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abliemeister143857@direct.ohiohealth.com OhioHealth Physician Group

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
I20210608001215 OH Practitioner - Nurse Practitioner 1355741646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-2934

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

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, Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN423698OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince Jun 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2022 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

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

3705 Olentangy River Rd
Ste 100
Columbus, OH 43214

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

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 and National Provider Directory roles.

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1770157992",
    "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",
            "telephone_number": "616-828-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026416",
            "telephone_number": "740-383-7980",
            "fax_number": "740-383-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIEMEISTER",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "PHD, MSN, CNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-12-15",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN423698",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0028551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abliemeister143857@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "1050 Delaware Ave",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.