Individual provider Active NPI

Corrin Michelle Bless, RN, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, OH
National Provider Identifier
1861150617
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0030575 Issued in OH
Practice address
109 N Broad St Ste 304
Lancaster, OH 43130-3785
Phone
(740) 201-6021
Fax
(740) 785-4700
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.438098 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0030575 OH Primary

Addresses

Primary practice location

109 N Broad St Ste 304
Lancaster, OH 43130-3785

Mailing address

109 N Broad St Ste 304
Lancaster, OH 43130-3785
Phone (740) 974-9909

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
I20220429002137 OH Practitioner - Nurse Practitioner 3173910601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio Psychiatric Services LLCGroup PAC ID 1850689266, 5 clinicians
Psychiatric Services and TMS Center LLCGroup PAC ID 9335527480, 6 clinicians

Practice addresses (Care Compare)

109 N Broad St
Suite 304
Lancaster, OH 43130-3785
Phone (740) 201-6021

5551 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone (740) 407-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.438098OHMDPsychiatric/Mental Health Registered Nurse

Organizations & group practices 2

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1861150617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N BROAD ST STE 304",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303785",
            "telephone_number": "740-974-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BROAD ST STE 304",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303785",
            "telephone_number": "740-201-6021",
            "fax_number": "740-785-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLESS",
        "first_name": "CORRIN",
        "middle_name": "MICHELLE",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.438098",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.