Individual provider Active NPI

Melissa A Bianchi, CNP

  • Family Nurse Practitioner
  • Fremont, OH
National Provider Identifier
1992232367
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
020886 Issued in OH
Practice address
410 Birchard Ave
Fremont, OH 43420-2967
Phone
(419) 334-3869
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 020886 OH Primary

Addresses

Primary practice location

410 Birchard Ave
Fremont, OH 43420-2967

Mailing address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone (419) 294-4991

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbianchi805773@direct.mercy.com

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
I20170629003052 OH Practitioner - Nurse Practitioner 3476822701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center Street Community Clinic IncGroup PAC ID 7012815210, 12 clinicians

Practice addresses (Care Compare)

136 W Ctr St
Marion, OH 43302-3704
Phone (740) 751-6380

Hospital & facility affiliations

  • Marion General Hospital Hospital, Marion, OH, CCN 360011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020886OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center Street Community Clinic, Inc CurrentSince Nov 11, 2024 Accepting new patients
Center Street Community Clinic Inc CurrentSince Nov 11, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community and Rural Health Services Past Accepting new patients

Locations

136 W Center St
Marion, OH 43302
Phone (740) 751-4531

Interoperability endpoints

  • Direct secure messaging: melissa.bianchi.p1@direct.centerstreetclinic.nextgenshare.com

Organizations & group practices 7

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 2

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1992232367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511098",
            "telephone_number": "419-294-4991",
            "fax_number": "419-209-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BIRCHARD AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202967",
            "telephone_number": "419-334-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbianchi805773@direct.mercy.com",
            "affiliation": "N",
            "address_1": "885 N Sandusky Ave",
            "city": "Upper Sandusky",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433511098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.