Individual provider Active NPI

Samantha J Bialecki, CNP

  • Adult Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1790238988
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.019386 Issued in OH
Practice address
2940 N McCord Rd
Toledo, OH 43615-1753
Phone
(419) 842-3000
Fax
(419) 842-3047
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 APRN.CNP.019386 OH Primary

Addresses

Primary practice location

2940 N McCord Rd
Toledo, OH 43615-1753

Mailing address

2940 N McCord Rd
Toledo, OH 43615-1753

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbialecki49262@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160927000819 OH Practitioner - Nurse Practitioner 6103113642 Reassigns benefits to 5 organizations
I20191223001683 MI Practitioner - Nurse Practitioner 6103113642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Park Community HospitalGroup PAC ID 1951200872, 18 clinicians

Practice addresses (Care Compare)

2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7900

2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000

770 Riverside Ave
Suite 106
Adrian, MI 49221-1465
Phone (517) 266-0525

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Jul 1, 2019 Accepting new patients
Wood Health Company LLC CurrentSince Jul 1, 2019 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
The Toledo Hospital CurrentSince Sep 1, 2018 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC CurrentSince Sep 1, 2016 Accepting new patients
Bay Park Community Hospital CurrentSince Nov 2, 2019 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC CurrentSince Sep 1, 2016 Accepting new patients
The Toledo Hospital CurrentSince Sep 1, 2018 Accepting new patients
Memorial Hospital CurrentSince Jul 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525

730 N Macomb St
Ste 429A
Monroe, MI 48162

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1037 Conneaut Ave
Ste 202
Bowling Green, OH 43402
Phone (419) 354-0104

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

715 S Taft Ave
Ste 1
Fremont, OH 43420

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

715 S Taft Ave
Ste 195
Fremont, OH 43420
Phone (419) 333-9533

951 Commerce Pkwy
Ste 100
Lima, OH 45804

5705 Monclova Rd
Ste 202
Maumee, OH 43537
Phone (419) 891-0136

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2751 Bay Park Dr
Ste 305
Oregon, OH 43616
Phone (419) 690-7689

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

734 S Shoop Ave
Ste B
Wauseon, OH 43567
Phone (419) 337-9995

725 S Shoop Ave
Ste G101
Wauseon, OH 43567

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sbialecki49262@direct.promedica.org

Organizations & group practices 12

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1790238988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N MCCORD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N MCCORD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151753",
            "telephone_number": "419-842-3000",
            "fax_number": "419-842-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALECKI",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.019386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbialecki49262@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "2940 N McCord Rd",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436151753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.