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

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1760294912

Tasha Corazon Bauccio is a Nurse Practitioner in Columbus, Ohio. Qualified in 2024, 2 years ago. Practices with Mount Carmel Healthproviders Two LLC, a 223-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

6001 E Broad St
Columbus, OH 43213-1502
Phone: (614) 234-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5300 N Meadows Dr, Grove City, OH 43123-2546 — (614) 633-5000
  • 500 S Cleveland Ave, Westerville, OH 43081-8971 — (380) 898-4000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0039092 (OH)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence APRN.CNP.0039092 (OH)

Record details

NPI number1760294912
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2025
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025
Mailing address2598 Weeping Willow Ct, Columbus, OH 43207-3481

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mount Carmel Healthproviders Two Llc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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