| Tyler Jay Niese, CNP | |
| 
					1001 Bellefontaine Ave, Lima, OH 45804-2800  | |
| (419) 228-3335 | |
| Not Available | 
| Full Name | Tyler Jay Niese | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1001 Bellefontaine Ave, Lima, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447790910 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 348399 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 020677 (Ohio) | Primary | 
| Entity Name | Blanchard Valley Regional Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179  | 
| Entity Name | Blanchard Valley Medical Practice Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962501627 PECOS PAC ID: 9234168147 Enrollment ID: O20050811000177  | 
| Entity Name | Signify Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tyler Jay Niese, CNP 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 228-3335  | Tyler Jay Niese, CNP 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 228-3335  | 
Stacy Jo Klass, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804 Phone: 419-227-5298 Fax: 419-227-5879  | |
Jocelyn Leigh Sherman, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 Phone: 419-998-8230  | |
Logan Michael Rieman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015  | |
Holly A Archer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Allentown Rd, Lima, OH 45805 Phone: 419-227-2245 Fax: 419-229-1573  | |
Cassandra Baumgartner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 8th St, Lima, OH 45804 Phone: 419-221-3072  | |
Jessica A Dailey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 N Cable Rd, Lima, OH 45805 Phone: 419-228-2600 Fax: 419-228-1100  | |
Mrs. Ruth Ann Grothouse, C-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6781 Fax: 419-229-3490  |