Active NPI
Amy Nancy Jean Belott, PA-C
- Surgical Physician Assistant
- Lancaster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 50.004560RX
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
618 Pleasantville Rd
Suite 302
Lancaster, OH 43130-3312
Phone (740) 687-6910
Hospital & facility affiliations
- Fairfield Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.004560RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Healthcare Professionals, Inc. | Current | Accepting new patients | |
| Fairfield Healthcare Professionals Inc | Current | 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.
-
- Urgent Care Clinic/Center
- Lancaster, OH
- NPI 1700334182
-
- Family Medicine Physician
- Baltimore, OH
- NPI 1174579791
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.