Individual provider Active NPI

Amy Nancy Jean Belott, PA-C

  • Surgical Physician Assistant
  • Lancaster, OH
National Provider Identifier
1821455080
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.004560RX Issued in OH
Practice address
618 Pleasantville Rd Ste 202
Lancaster, OH 43130-3346
Phone
(740) 681-9020
Fax
(740) 681-9112
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.004560RX OH Primary
Physician Assistant 363A00000X 50.004560RX OH

Addresses

Primary practice location

618 Pleasantville Rd Ste 202
Lancaster, OH 43130-3346

Mailing address

641 Hill Rd N
Suite a
Pickerington, OH 43147-9346
Phone (614) 833-0880

Other practice location 1

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 681-9020

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
I20160217000721 OH Practitioner - Physician Assistant 7113222993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Healthcare Professionals Inc 144 clinicians

Practice addresses (Care Compare)

618 Pleasantville Rd
Suite 302
Lancaster, OH 43130-3312
Phone (740) 687-6910

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004560RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince Dec 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fairfield Healthcare Professionals, Inc. Past Accepting new patients

Locations

618 Pleasantville Rd
Ste 302
Lancaster, OH 43130
Phone (614) 234-5000

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 202
Lancaster, OH 43130
Phone (740) 681-9020

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 1

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1821455080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 HILL RD N",
            "address_2": "SUITE A",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479346",
            "telephone_number": "614-833-0880",
            "fax_number": "614-833-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD STE 202",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303346",
            "telephone_number": "740-681-9020",
            "fax_number": "740-681-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Ewing St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303372",
            "country_code": "US",
            "telephone_number": "740-681-9020",
            "fax_number": "740-681-9112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELOTT",
        "first_name": "AMY",
        "middle_name": "NANCY JEAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.004560RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004560RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.