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MARIO BIANCONI CNP
NPI 1811403322
Nurse Practitioner - Family in Delaware, OH

Active since December 19, 2017PECOS EnrolledAccepts Medicare Assignment
241 PADDOCK CT, DELAWARE, OH 43015(614) 300-5878 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mario Bianconi Cnp NPPES

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

MARIO BIANCONI CNP (NPI 1811403322) is an individual family provider in Delaware, Ohio, licensed in Ohio (APRN.CNP.021745) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811403322
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARIO BIANCONICredential: CNP
Location Address241 PADDOCK CTDelaware, OH 43015-1317
Mailing Address7401 Bentley PlWesterville, OH 43082-8662
Phone(614) 300-5878
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 19, 2017
✔ NPI 1811403322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.021745
241 PADDOCK CT, Delaware, OH 43015
Open in Google Maps ↗

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

Mario Bianconi 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 ID4688933187
PECOS Enrollment IDI20180108002849
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

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.
65 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43015 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 4

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

WARREN-LORAINE INC
Clinic/Center (Primary Care)
241 PADDOCK CT
DELAWARE, OH 43015
Delaware County (740) 363-1975
DANIEL REED
Peer Specialist
241 PADDOCK CT
DELAWARE, OH 43015
Delaware County (740) 363-1619
ALL AGES FAMILY MEDICINE, INC.
Family Medicine
241 PADDOCK CT
DELAWARE, OH 43015
Delaware County (740) 362-8686
DAVID WEBSTER NARDIN M.D.
Family Medicine
241 PADDOCK CT
DELAWARE, OH 43015
Delaware County (740) 363-1975

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 Mario Bianconi's NPI number?

The NPI number for Mario Bianconi is 1811403322. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Mario Bianconi located?

Mario Bianconi practices at 241 Paddock Ct, Delaware, OH 43015. The listed phone number is (614) 300-5878.

What is Mario Bianconi's specialty?

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

Is Mario Bianconi enrolled in Medicare?

Yes. Mario Bianconi 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.

What insurance does Mario Bianconi 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 Mario Bianconi 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.

When was this NPI record last updated?

The NPPES record for Mario Bianconi was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.