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

Nicole Marie Pothast, MSN, CNM

Individual provider Advanced Practice Midwife · NPI 1104376219

Nicole Marie Pothast, MSN, CNM is a Certified Nurse Midwife (CNM) in Bryan, Ohio. Qualified in 2016, 10 years ago. Practices with Blanchard Valley Medical Practice LLC, a 72-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
10
Licensed in
IN, OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

433 W High St
Bryan, OH 43506-1690
Phone: (419) 636-1131
Fax: (419) 636-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 019332 (OH)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 71006654 (IN)

Record details

NPI number1104376219
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , CNM
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Blanchard Valley Medical Practice Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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