ANN C BASOM PMHNP
NPI 1912630187
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2025, May 28, 2025, Oct 3, 2022 and 1 more (4 updates tracked since 2022).

About Ann C Basom Pmhnp NPPES

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

ANN C BASOM PMHNP (NPI 1912630187) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0032005) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dublin, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912630187
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANN C BASOMCredential: PMHNP
Location Address700 CHILDRENS DRColumbus, OH 43205-2639
Mailing Address4995 Bradenton AveDublin, OH 43017-3543
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 6, 2022
Last NPPES UpdateJune 11, 20254 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1912630187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0032005
700 CHILDRENS DR, Columbus, OH 43205

Secondary Practice Location 1

Location 14995 Bradenton Ave Ste 130Dublin, OH 43017-3551 · Phone (843) 475-8657

Accepted 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

Ann C Basom Pmhnp 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 ID2264809813
PECOS Enrollment IDI20221110001716
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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 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 20

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

Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pathology (Pediatric Pathology)
700 CHILDRENS DR
COLUMBUS, OH 43205
Anesthesiology
700 CHILDRENS DR
COLUMBUS, OH 43205
Nurse Practitioner (Neonatal)
700 CHILDRENS DR, ROSS HALL 1ST FLOOR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Anesthesiology
700 CHILDRENS DR
COLUMBUS, OH 43205
Surgery (Pediatric Surgery)
700 CHILDRENS DR
COLUMBUS, OH 43205

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 Ann Basom's NPI number?

The NPI number for Ann Basom is 1912630187. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Ann Basom located?

Ann Basom practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Ann Basom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ann Basom enrolled in Medicare?

Yes. Ann Basom 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 Ann Basom accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Ann Basom 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 Ann Basom was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.