Individual provider Active NPI

Wynona L Blausey, APRN

  • Gerontology Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1851938666
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
025700 Issued in OH
Practice address
2409 Cherry St Ste 100
Toledo, OH 43608-2670
Phone
(419) 251-3700
NPI assigned
Dec 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 025700 OH Primary

Addresses

Primary practice location

2409 Cherry St Ste 100
Toledo, OH 43608-2670

Mailing address

2409 Cherry St Ste 100
Toledo, OH 43608-2670
Phone (419) 251-3700

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
I20200210000453 OH Practitioner - Nurse Practitioner 8426484502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025700OHMDGerontology Nurse Practitioner
APRN.CNP.025700OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Cardiology Consultants Inc CurrentSince Jan 1, 2020 Accepting new patients
Toledo Cardiology Consultants Inc CurrentSince Jan 1, 2020 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 1, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2409 Cherry St
Ste 100
Toledo, OH 43608
Phone (419) 251-3700

Interoperability endpoints

  • Direct secure messaging: wblausey101729@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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1851938666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082670",
            "telephone_number": "419-251-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082670",
            "telephone_number": "419-251-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUSEY",
        "first_name": "WYNONA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "025700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.