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AMANDA ELIZABETH HERLIHY APRN-CNP
NPI 1851827984
Nurse Practitioner - Women's Health in Hilliard, OH

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
3651 RIDGE MILL DR, HILLIARD, OH 43026(614) 293-3873(614) 293-3078 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2021, Feb 28, 2018, Aug 14, 2017 and 1 more (4 updates tracked since 2017).

About Amanda Elizabeth Herlihy Aprn-cnp NPPES

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

AMANDA ELIZABETH HERLIHY APRN-CNP (NPI 1851827984) is an individual women's health provider in Hilliard, Ohio, licensed in Ohio (APRN.CNP.021329) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851827984
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameAMANDA ELIZABETH HERLIHYCredential: APRN-CNP
Location Address3651 RIDGE MILL DRHilliard, OH 43026-7752
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3873 · Fax (614) 293-3078
Phone(614) 293-3873
Fax(614) 293-3078
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2017
Last NPPES UpdateMarch 18, 20244 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1851827984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · APRN.CNP.021329
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.021329 (OH)
3651 RIDGE MILL DR, Hilliard, OH 43026
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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

Amanda Elizabeth Herlihy 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 ID3870866478
PECOS Enrollment IDI20170901001771
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 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.
15 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

FLOORTJE JENNISKENS BACKES MD
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 293-3873
CASEY COSGROVE MD
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 293-3873
AMBAR KHAN PHARMD
Pharmacist (Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 366-0560
ROBERT T NEFF MD
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 293-3873
LARRY J COPELAND M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 293-3873
ANDREA EASLEY MS, RN, CNP
Nurse Practitioner (Women's Health)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 366-2327
MARISSA DUCO PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 282-5510
PAULINA HAIGHT MD
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Franklin County (614) 293-3873

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 Amanda Herlihy's NPI number?

The NPI number for Amanda Herlihy is 1851827984. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Amanda Herlihy located?

Amanda Herlihy practices at 3651 Ridge Mill Dr, Hilliard, OH 43026. The listed phone number is (614) 293-3873.

What is Amanda Herlihy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Amanda Herlihy enrolled in Medicare?

Yes. Amanda Herlihy 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 Amanda Herlihy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Amanda Herlihy 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 Amanda Herlihy affiliated with any hospitals?

According to CMS data, Amanda Herlihy is affiliated with Southern Ohio Medical Center, Grant Medical Center, Ohio State University State Health System and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Herlihy was last updated on March 18, 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.