MS. AMY NANCY JEAN BELOTT PA-C
NPI 1821455080
Physician Assistant - Surgical in Lancaster, OH

Active since January 19, 2016PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
618 PLEASANTVILLE RD STE 202, LANCASTER, OH 43130(740) 681-9020(740) 681-9112 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Apr 18, 2019, Jan 19, 2016 (3 updates tracked since 2016).

About Ms. Amy Nancy Jean Belott Pa-c NPPES

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

MS. AMY NANCY JEAN BELOTT PA-C (NPI 1821455080) is an individual surgical provider in Lancaster, Ohio, licensed in Ohio (50.004560RX) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1821455080
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. AMY NANCY JEAN BELOTTCredential: PA-C
Location Address618 PLEASANTVILLE RD STE 202Lancaster, OH 43130-3346
Mailing Address641 Hill Rd N, Suite APickerington, OH 43147-9346 · (614) 833-0880 · Fax (614) 833-6767
Fax(740) 681-9112
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 19, 2016
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1821455080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OH · 50.004560RX
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50.004560RX (OH)
618 PLEASANTVILLE RD STE 202, Lancaster, OH 43130

Secondary Practice Location 1

Location 1401 N Ewing StLancaster, OH 43130-3372 · Phone (740) 681-9020 · Fax (740) 681-9112

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

Ms. Amy Nancy Jean Belott Pa-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 ID7113222993
PECOS Enrollment IDI20160217000721
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.

Hospital Affiliations CMS Care Compare

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

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.

Physician Assistant
618 PLEASANTVILLE RD STE 202
LANCASTER, OH 43130
Thoracic Surgery (Cardiothoracic Vascular Surgery)
618 PLEASANTVILLE RD STE 202
LANCASTER, OH 43130
Physician Assistant
618 PLEASANTVILLE RD STE 202
LANCASTER, OH 43130
Nurse Practitioner (Acute Care)
618 PLEASANTVILLE RD STE 202
LANCASTER, OH 43130

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 Amy Belott's NPI number?

The NPI number for Amy Belott is 1821455080. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Amy Belott located?

Amy Belott practices at 618 Pleasantville Rd Ste 202, Lancaster, OH 43130. The listed phone number is (740) 681-9020.

What is Amy Belott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amy Belott enrolled in Medicare?

Yes. Amy Belott 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.

Is Amy Belott affiliated with any hospitals?

According to CMS data, Amy Belott is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Belott was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.