ELIZABETH MARIE BAKKAR (MSN, CPNP AC/PC) – Pediatric Nurse Practitioner, NPI 1730630369
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELIZABETH MARIE BAKKAR (MSN, CPNP AC/PC)
4439 State Route 159 Ste G10
Chillicothe, OH 456017708
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
7853 Pacer Dr
Delaware, OH 430157571
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
1 Childrens Plz
Dayton, OH 454041873
Phone: (614) 722-6200
Type: Location
26 Hospital Dr
Athens, OH 457012471
Phone: (614) 722-2000
Type: Location
536 S Trimble Rd
Mansfield, OH 449063418
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
11 John Lloyd Evans Memorial Dr
Nelsonville, OH 457642523
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone:
Type: Mailing
1711 27TH St
Portsmouth, OH 456622654
Phone: (614) 722-2000
Type: Location
740 Adair Ave
Zanesville, OH 437012838
Phone: (614) 722-6200
Fax: (614) 722-4000
Type: Location
335 Glessner Ave
Mansfield, OH 449032269
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
955 Bethesda Dr
Zanesville, OH 437011873
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
416 Front St
Marietta, OH 457502124
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
1818 Chapel Dr
Findlay, OH 458401335
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
716 Adair Ave
Zanesville, OH 437012836
Phone: (614) 722-6200
Fax: (614) 722-4000
Type: Location
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-2555
Fax: (614) 722-2549
Type: Location
830 W High St
Lima, OH 458013971
Phone: (419) 226-9694
Fax: (614) 722-2549
Type: Location
1069 Delaware Ave
Marion, OH 433021400
Phone: (740) 387-7777
Fax: (740) 387-3848
Type: Location
5665 Venture Dr
Dublin, OH 430172159
Phone: (614) 355-8480
Fax: (614) 355-8486
Type: Location
7901 Diley Rd
Canal Winchester, OH 431109612
Phone: (614) 355-9050
Fax: (614) 355-9051
Type: Location
Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States
THE HEART CENTER
COLUMBUS, OH 43205
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170313001692 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45601)
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