ANNA MCKINLEY BILLY APRN
NPI 1972254126
Nurse Practitioner in Columbus, OH

Active since January 10, 2022PECOS EnrolledAccepts Medicare Assignment
73.57/100
CMS Quality Rating
3100 PLAZA PROPERTIES BLVD, COLUMBUS, OH 43219(614) 383-6000(614) 383-6001 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2023, Jan 10, 2022 (2 updates tracked since 2022).

About Anna Mckinley Billy Aprn NPPES

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

ANNA MCKINLEY BILLY APRN (NPI 1972254126) is an individual nurse practitioner in Columbus, Ohio, licensed in Ohio (0030355) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972254126
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNA MCKINLEY BILLYCredential: APRN
Location Address3100 PLAZA PROPERTIES BLVDColumbus, OH 43219-1530
Mailing Address460 Electric AveWesterville, OH 43081-2669 · (443) 765-4674
Fax(614) 383-6001
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1972254126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · 0030355
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.0030355 (OH)
3100 PLAZA PROPERTIES BLVD, Columbus, OH 43219

Accepted 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

Anna Mckinley Billy Aprn 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 ID648666040
PECOS Enrollment IDI20220412002414
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 Reassignment

Medicare enrollment records show Anna Billy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1730 S REYNOLDS RD
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 71 clinicians in this Medicare group

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 3

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.
36 services35 patients
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.
13 services11 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43219 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.

73.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.58
Promoting Interoperability98
Improvement Activities40
Cost50.92

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.

Internal Medicine (Hematology & Oncology)
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219
Internal Medicine (Hematology & Oncology)
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219
Internal Medicine (Hematology & Oncology)
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219
Internal Medicine (Medical Oncology)
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219
Obstetrics & Gynecology (Gynecologic Oncology)
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219
Internal Medicine (Hematology & Oncology)
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219
Nurse Practitioner
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219
Nurse Practitioner
3100 PLAZA PROPERTIES BLVD
COLUMBUS, OH 43219

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 Anna Billy's NPI number?

The NPI number for Anna Billy is 1972254126. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Anna Billy located?

Anna Billy practices at 3100 Plaza Properties Blvd, Columbus, OH 43219. The listed phone number is (614) 383-6000.

What is Anna Billy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anna Billy enrolled in Medicare?

Yes. Anna Billy 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 organization bills Medicare for Anna Billy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Billy reassigns Medicare benefits to Ohio Living Palliative Care Greater Toledo LLC (Toledo, OH). The 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 Anna Billy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Billy accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Anna Billy 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 Anna Billy was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.