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BARBARA PLEIMAN APRN-CNP
NPI 1073007027
Nurse Practitioner in Sidney, OH

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
1023 FAIR RD, SIDNEY, OH 45365(937) 658-6216(937) 658-6215 Get Directions Write a Review

NPPES record last updated: June 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Barbara Pleiman Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARBARA PLEIMAN APRN-CNP (NPI 1073007027) is an individual nurse practitioner in Sidney, Ohio, licensed in Ohio (APRN.CNP.022765) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and maintains a secondary practice location in Minster.

NPPES Registry Identity

NPI1073007027
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBARBARA PLEIMANCredential: APRN-CNP
Location Address1023 FAIR RDSidney, OH 45365-8947
Mailing Address5403 State Route 119Minster, OH 45865-9404 · (937) 489-8956
Phone(937) 658-6216
Fax(937) 658-6215
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateJune 2, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1073007027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.022765
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License APRN.CNP.022765 (OH)
1023 FAIR RD, Sidney, OH 45365
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Secondary Practice Location 1

Location 15403 State Route 119Minster, OH 45865-9404 · Phone (937) 489-8956

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barbara Pleiman Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173872686
PECOS Enrollment IDI20180816001619
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Barbara Pleiman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amanda Saunders Aprn Fnp-Bc LLC
1.2 mi
Family
1540 MICHIGAN ST
Sidney, OH 45365
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1568110674 (937) 658-6216
Scripts 360 Wellness Co
1.2 mi
Psychiatric/Mental Health
1540 MICHIGAN ST
Sidney, OH 45365
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1265226849 (469) 915-4211
Signify Health, LLC
866 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA SAUNDERS APRN FNP-BC
Nurse Practitioner (Family)
1023 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 658-6216
JESSICA MANUEL LCDCIII
Counselor (Addiction (Substance Use Disorder))
1023 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 658-6216
RACHEL ERRETT LSW
Social Worker
1023 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 658-6216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barbara Pleiman's NPI number?

The NPI number for Barbara Pleiman is 1073007027. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Barbara Pleiman located?

Barbara Pleiman practices at 1023 Fair Rd, Sidney, OH 45365. The listed phone number is (937) 658-6216.

What is Barbara Pleiman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Barbara Pleiman enrolled in Medicare?

Yes. Barbara Pleiman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Barbara Pleiman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Pleiman reassigns Medicare benefits to 3 organizations: Amanda Saunders Aprn Fnp-Bc LLC (Sidney, OH), Scripts 360 Wellness Co (Sidney, OH) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Pleiman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Pleiman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Barbara Pleiman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Barbara Pleiman affiliated with any hospitals?

According to CMS data, Barbara Pleiman is affiliated with Wilson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Pleiman was last updated on June 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.