| James L Niese, CNP | |
|
100 Progressive Dr, Columbus Grove, OH 45830-9620 | |
| (419) 659-6010 | |
| (419) 659-6012 |
| Full Name | James L Niese |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 100 Progressive Dr, Columbus Grove, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891100376 | NPI | - | NPPES |
| H376411 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.15991-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Putnam County Homecare | Ottawa, OH | Home health agency |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Blanchard Valley Hospital | Findlay, OH | Hospital |
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lima, Llc | 3375607351 | 54 |
| Entity Name | Mercy Health Physicians Lima, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102 |
| Entity Name | Mercy Health Physicians Lima Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Mailing Address | Practice Location Address |
|---|---|
| James L Niese, CNP Po Box 636930, Cincinnati, OH 45263-6930 Ph: Not Available | James L Niese, CNP 100 Progressive Dr, Columbus Grove, OH 45830-9620 Ph: (419) 659-6010 |
Tyler J Maag, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Progressive Dr, Columbus Grove, OH 45830 Phone: 419-659-6010 |
Ms. Nicole Basinger, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10920 Road R, Columbus Grove, OH 45830 Phone: 419-604-9454 |