Individual provider Active NPI

Nicole Basinger, CNP

  • Family Nurse Practitioner
  • Columbus Grove, OH
National Provider Identifier
1770177958
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028451 Issued in OH
Practice address
10920 Road R
Columbus Grove, OH 45830-9796
Phone
(419) 604-9454
NPI assigned
Feb 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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 0028451 OH Primary

Addresses

Primary practice location

10920 Road R
Columbus Grove, OH 45830-9796

Mailing address

10920 Road R
Columbus Grove, OH 45830-9796
Phone (419) 604-9454

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
I20210712001849 OH Practitioner - Nurse Practitioner 8527460666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

575 Westar Xing
Suite 102
Westerville, OH 43082-7815
Phone (614) 839-5555

770 W High St
Suite 160
Lima, OH 45801-5900
Phone (419) 996-5224

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0028451OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Oct 21, 2024 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Oct 21, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Jul 19, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

830 W High St
Ste 304
Lima, OH 45801
Phone (419) 227-0610

770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224

6482 E Main St
Ste B
Reynoldsburg, OH 43068
Phone (614) 856-0327

575 Westar Xing
Ste 102
Westerville, OH 43082
Phone (614) 839-5555

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: nicole.basinger.1@26020.direct.athenahealth.com
  • Direct secure messaging: nbasinger866654@direct.bsmhealth.org

Organizations & group practices 4

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": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1770177958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 ROAD R",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458309796",
            "telephone_number": "419-604-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 ROAD R",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458309796",
            "telephone_number": "419-604-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINGER",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus Grove, OH

Sources for this page

Verify at the official NPI Registry.