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MR. JOEL POHLMAN NP-C
NPI 1235725490
Nurse Practitioner - Family in Delphos, OH

Active since December 11, 2020PECOS EnrolledAccepts Medicare Assignment
83.3/100
CMS Quality Rating
607 ELIDA AVE, DELPHOS, OH 45833(419) 991-7805 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Jul 1, 2025, Jun 17, 2021 and 2 more (5 updates tracked since 2020).

About Mr. Joel Pohlman Np-c NPPES

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

MR. JOEL POHLMAN NP-C (NPI 1235725490) is an individual family provider in Delphos, Ohio, licensed in Ohio (APRN.CNP.0028367) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains a secondary practice location in Lima.

NPPES Registry Identity

NPI1235725490
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOEL POHLMANCredential: NP-C
Location Address607 ELIDA AVEDelphos, OH 45833-1736
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800
Phone(419) 991-7805
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 11, 2020
Last NPPES UpdateApril 29, 20265 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1235725490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0028367
Also ListedRegistered NurseTaxonomy 163W00000X · License 402414 (OH)
607 ELIDA AVE, Delphos, OH 45833
Open in Google Maps ↗

Secondary Practice Location 1

Location 12875 W Elm StLima, OH 45805-2510 · Phone (419) 991-7805

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

Mr. Joel Pohlman Np-c 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 ID1153738075
PECOS Enrollment IDI20210322000182
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

2

Medicare enrollment records show Joel Pohlman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Physicians Of Lima Inc
9.5 mi
Family Medicine
119 S BROADWAY
Spencerville, OH 45887
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1669550182 (419) 647-4165
Lima Memorial Professional Corporation
11 mi
Internal Medicine
525 N EASTOWN RD STE 102
Lima, OH 45807
  • Reassigned Medicare billing, Ohio enrollment
  • 228 clinicians in this Medicare group
NPI 1871867663 (419) 998-8214

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 10

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 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.
64 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
34 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services20 patients
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.
25 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45833 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.6
Promoting Interoperability100
Improvement Activities40

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.

MRS. ELISE DIANE CLARK FNP BC
Nurse Practitioner
607 ELIDA AVE
DELPHOS, OH 45833
Allen County (419) 991-7805
LIMA MEMORIAL PROFESSIONAL CORPORATION
Family Medicine
607 ELIDA AVE
DELPHOS, OH 45833
Allen County (419) 991-7805
MS. KARRI LOU KRENDL MD
Family Medicine
607 ELIDA AVE
DELPHOS, OH 45833
Allen County (419) 991-7805

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 Joel Pohlman's NPI number?

The NPI number for Joel Pohlman is 1235725490. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Joel Pohlman located?

Joel Pohlman practices at 607 Elida Ave, Delphos, OH 45833. The listed phone number is (419) 991-7805.

What is Joel Pohlman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joel Pohlman enrolled in Medicare?

Yes. Joel Pohlman 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 Joel Pohlman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Pohlman reassigns Medicare benefits to 2 organizations: Family Physicians Of Lima Inc (Spencerville, OH) and Lima Memorial Professional Corporation (Lima, OH). 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 Joel Pohlman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Pohlman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Joel Pohlman 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 Joel Pohlman affiliated with any hospitals?

According to CMS data, Joel Pohlman is affiliated with Lima Memorial Health System and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Joel Pohlman was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.