ABIGAIL BILLUPS APRN-CNP
NPI 1205428570
Nurse Practitioner - Gerontology in Toledo, OH

Q: What is Abigail Billups's NPI number?

The NPI number for Abigail Billups is 1205428570. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Q: What is Abigail Billups's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Billups was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 09, 2021PECOS EnrolledAccepts Medicare Assignment

3404 W SYLVANIA AVE, TOLEDO, OH 43623(419) 407-2663 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, Feb 9, 2021 (2 updates tracked since 2021).

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About Abigail Billups Aprn-cnp NPPES

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

ABIGAIL BILLUPS APRN-CNP (NPI 1205428570) is an individual gerontology provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.0027768) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205428570

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameABIGAIL BILLUPSCredential: APRN-CNP

Location Address3404 W SYLVANIA AVEToledo, OH 43623-4467

Mailing Address3404 W Sylvania AveToledo, OH 43623-4467

Phone(419) 407-2663

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 9, 2021

Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1205428570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.0027768

3404 W SYLVANIA AVE, Toledo, OH 43623

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abigail Billups 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 ID4981043700

PECOS Enrollment IDI20240412002445

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.

Areas of Expertise CMS Part B claims 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

85 services81 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

53 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services23 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

30 services19 patients

Hospital Affiliations CMS Care Compare

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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 20

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

KYLIE BLAKE GRANT PHARMD

Pharmacist