Individual provider Active NPI

Abby Gayle Searfoss, CNP

  • Family Nurse Practitioner
  • Upper Sandusky, OH
National Provider Identifier
1013354034
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14519-NP Issued in OH
Practice address
885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone
(419) 294-6254
Fax
(419) 294-4021
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14519-NP OH Primary

Addresses

Primary practice location

885 N Sandusky Ave
Upper Sandusky, OH 43351-1098

Mailing address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-4991

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asearfoss805770@direct.mercy.com

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
I20130720000008 OH Practitioner - Nurse Practitioner 0345481156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

245 Tarhe TRL
Upper Sandusky, OH 43351-8700
Phone (419) 294-1525

Hospital & facility affiliations

  • Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14519-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Memorial Hospital CurrentSince Jun 10, 2013 Accepting new patients
Wyandot Memorial Hospital CurrentSince Jun 10, 2013 Accepting new patients
Wyandot Memorial Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

245 Tarhe Trl
Upper Sandusky, OH 43351
Phone (419) 294-1525

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

423 W Church St
Upper Sandusky, OH 43351
Phone (419) 294-4051

Interoperability endpoints

  • FHIR API: https://carepath.health-partners.org/Proxy-FHIR/WMH/api/FHIR/R4
  • Direct secure messaging: asearfoss805770@direct.bsmhealth.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1013354034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511098",
            "telephone_number": "419-294-6254",
            "fax_number": "419-294-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARFOSS",
        "first_name": "ABBY",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14519-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asearfoss805770@direct.mercy.com",
            "affiliation": "N",
            "address_1": "885 N Sandusky Ave",
            "city": "Upper Sandusky",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433511098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.