Individual provider Active NPI

Virginia Renee Daley, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, OH
National Provider Identifier
1003195546
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA.12532-NP Issued in OH
Practice address
2000 E Market St
Warren, OH 44483-6156
Phone
(330) 393-5566
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA.12532-NP OH Primary

Addresses

Primary practice location

2000 E Market St
Warren, OH 44483-6156

Mailing address

1050 E 4TH St
Salem, OH 44460-2236
Phone (330) 337-3647

Other identifiers 1

IdentifierTypeStateIssuer
0060422MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000736 OH Practitioner - Nurse Practitioner 9739351636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Sargious M.D. IncGroup PAC ID 1254339781, 2 clinicians
Specialty Care Counseling Services LTDGroup PAC ID 5294787701, 3 clinicians

Practice addresses (Care Compare)

2000 E Market St
Warren, OH 44483-6156
Phone (330) 393-5566

Merit-based Incentive Payment System (MIPS)

Final score
72.28 of 100Reported as group
Quality
41.07
Improvement activities
40
Cost
86.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12532-NPOHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care Counseling Services, LTD CurrentSince Jun 30, 2018 Accepting new patients
Specialty Care Counseling Services, LTD CurrentSince Jun 30, 2018 Accepting new patients
Compass Family and Community Services Past Accepting new patients

Locations

2000 E Market St
Warren, OH 44483
Phone (330) 393-5566

Interoperability endpoints

  • Direct secure messaging: virginiadaley@esmdi.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1003195546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E 4TH ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602236",
            "telephone_number": "330-337-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836156",
            "telephone_number": "330-393-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "VIRGINIA",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.12532-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.