Stephanie Ruth Bixler, NP-C

Individual provider Active NPI Family Nurse Practitioner · Jackson, OH

NPI 1992936322 · NPPES record last updated Aug 15, 2012

Key facts

NPI
1992936322
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
COA.10819-NP (OH)
Practice address
1000 Veterans Dr
Jackson, OH 45640-9586
Phone
(740) 395-8050
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210707002687 OH Order and Referring Only - Nurse Practitioner 9638225105

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.10819-NP OH Yes

Addresses

Primary practice location

1000 Veterans Dr
Jackson, OH 45640-9586

Mailing address

130 Pfeifer Rd
Piketon, OH 45661-9000
Phone (740) 493-2312

Other identifiers

IdentifierTypeStateIssuer
2982616MedicaidOH

Other providers in Jackson, OH

All providers in Jackson, OH · Family Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.