Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christine Mautz

Individual provider Family Nurse Practitioner · NPI 1467997767

Christine Mautz is a Nurse Practitioner in Granville, Ohio. Qualified in 2016, 10 years ago. Practices with Boulder Care Provider Group PA, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

100 Blackstone Ct
Granville, OH 43023-8032
Phone: (740) 616-6903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 020301 (OH)

Record details

NPI number1467997767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2016
Last updated in NPPESDecember 22, 2016
Mailing address100 Blackstone Ct, Granville, OH 43023-8032

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Boulder Care Provider Group Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Granville