MARY BAILEY CNP
NPI 1912536137
Nurse Practitioner - Acute Care in Toledo, OH

Q: What is Mary Bailey's NPI number?

The NPI number for Mary Bailey is 1912536137. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Mary Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bailey was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment

4126 N HOLLAND SYLVANIA RD STE 105, TOLEDO, OH 43623(419) 479-5605(419) 473-2049 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Oct 11, 2024, Dec 14, 2020 and 1 more (4 updates tracked since 2020).

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About Mary Bailey Cnp NPPES

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

MARY BAILEY CNP (NPI 1912536137) is an individual acute care provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.026619) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912536137

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMARY BAILEYCredential: CNP

Location Address4126 N HOLLAND SYLVANIA RD STE 105Toledo, OH 43623-3541

Mailing Address4235 Secor RdToledo, OH 43623-4299 · (419) 473-3561

Phone(419) 479-5605

Fax(419) 473-2049

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 8, 2020

Last NPPES UpdateMarch 21, 20254 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1912536137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.026619

4126 N HOLLAND SYLVANIA RD STE 105, Toledo, OH 43623

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Secondary Practice Locations 2

Location 14330 Navarre Ave Ste 103Oregon, OH 43616-3587 · Phone (567) 402-4490

Location 2725 S Shoop AveWauseon, OH 43567-1702 · Phone (419) 330-2708

Other Identifiers 3

Medicaid0459041OH

Other404119OH · Ohio Board Of Nursing

OtherAPRN.CNP.026619OH · Ohio Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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

Mary Bailey 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 ID2961809868

PECOS Enrollment IDI20210920002443, I20230125003307

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.

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.

158 services101 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.

142 services85 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.

70 services49 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.

29 services29 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

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 7

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

DR. RICHARD CLIFTON PHINNEY M.D.

Internal Medicine (Medical Oncology)