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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2026, Mar 21, 2025, Oct 11, 2024 and 2 more (5 updates tracked since 2020).

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 UpdateOctober 13, 20265 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ 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
Open in Google Maps ↗

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

OtherAPRN.CNP.026619OH · Ohio Board Of Nursing
Medicaid0459041OH
Other404119OH · 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, Antidote Health Plan of Ohio, Inc., CareSource 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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mary Bailey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Toledo Clinic Incorporated
Same address
Clinical Medical Laboratory
4126 N HOLLAND SYLVANIA ROAD
Toledo, OH 43623
  • Reassigned Medicare billing, Ohio and Michigan enrollments
  • Also billed through NPI 1669423455 (Michigan)
  • 219 clinicians in this Medicare group
NPI 1659631554 (419) 474-2622
Mercy Health Physicians North Specialty Care LLC
7.4 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541
Fchc Medical Care, LLC
25 mi
Multi-Specialty
725 S SHOOP AVE
Wauseon, OH 43567
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
NPI 1598821175 (419) 335-2015
Bellevue Professional Services, Inc.
50 mi
Obstetrics & Gynecology
1400 W MAIN ST, BLDG 1, SUITE A
Bellevue, OH 44811
  • Reassigned Medicare billing, Ohio enrollment
  • 9 clinicians in this Medicare group
NPI 1063481737 (419) 483-2494

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 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 8

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)
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605
JESSICA ANN DOBBS
Nurse Practitioner (Family)
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605
SAMANTHA LYNNE RENWAND PHARMD
Pharmacist
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605
MRS. VICTORIA YUSCHAK FNP-BC
Nurse Practitioner
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605
MRS. MADDISON METCALF PA-C
Physician Assistant
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605
TOLEDO CLINIC INCORPORATED
Non-Pharmacy Dispensing Site
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605
DANIELLE LEE GOODELL CNP
Nurse Practitioner (Acute Care)
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605
AHMAD ZARZOUR M.D.
Internal Medicine (Hematology & Oncology)
4126 N HOLLAND SYLVANIA RD STE 105
TOLEDO, OH 43623
Lucas County (419) 479-5605

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 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.

Where is Mary Bailey located?

Mary Bailey practices at 4126 N Holland Sylvania Rd Ste 105, Toledo, OH 43623. The listed phone number is (419) 479-5605.

What is Mary Bailey's specialty?

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

Is Mary Bailey enrolled in Medicare?

Yes. Mary Bailey 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 Mary Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Bailey reassigns Medicare benefits to 4 organizations: Toledo Clinic Incorporated (Toledo, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH), Fchc Medical Care, LLC (Wauseon, OH) and Bellevue Professional Services, Inc. (Bellevue, 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 Mary Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Bailey accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 2 other insurers list Mary Bailey 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 Mary Bailey affiliated with any hospitals?

According to CMS data, Mary Bailey is affiliated with Promedica Monroe Regional Hospital, Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Bailey was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.