Individual provider Active NPI

Allison Pruett, M.D.

  • Obstetrics & Gynecology Physician
  • Mansfield, OH
National Provider Identifier
1033112305
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35077440 Issued in OH
Practice address
500 S Trimble Rd
Mansfield, OH 44906-4103
Phone
(419) 756-6000
Fax
(419) 756-1774
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35077440 OH Primary

Addresses

Primary practice location

500 S Trimble Rd
Mansfield, OH 44906-4103

Mailing address

500 S Trimble Rd
Mansfield, OH 44906-4103
Phone (419) 756-6000

Other identifiers 1

IdentifierTypeStateIssuer
2347811MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apruett@wcareinc.gwaydirect.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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000071 OH Practitioner - Obstetrics/Gynecology 2062691942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Toledo College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Mansfield Obstetrics and Gynecology Associates IncGroup PAC ID 8123052800, 5 clinicians

Practice addresses (Care Compare)

24 E Whitney Ave
Shelby, OH 44875-1282
Phone (567) 247-0870

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

500 S Trimble Rd
Mansfield, OH 44906-4103
Phone (419) 756-6000

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325

Merit-based Incentive Payment System (MIPS)

Final score
90.3 of 100Reported as group
Quality
94.03
Improvement activities
40
Cost
75.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mansfield Obstetrics & Gynecology Associates Inc Obstetrics & Gynecology CurrentSince Sep 1, 2002 Accepting new patients
Medcentral Health System Past Accepting new patients
Avita Ontario Hospital Past Accepting new patients

Locations

2021 S Baney Rd
Ashland, OH 44805
Phone (419) 281-3668

500 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-6000

Interoperability endpoints

  • Direct secure messaging: apruett903133@direct.osumc.edu
  • FHIR API: https://ihismufhir.osumc.edu/fhir-prd/api/FHIR/R4/

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 4

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1033112305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000",
            "fax_number": "419-756-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000",
            "fax_number": "419-756-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35077440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347811",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apruett@wcareinc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "500 S Trimble Rd",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449064103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.