Individual provider Active NPI

Maggie Moracco, NP

  • Family Nurse Practitioner
  • Hudson, OH
National Provider Identifier
1083032692
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15578-NP Issued in OH
Practice address
5700 Darrow Rd Ste 106
Hudson, OH 44236-5026
Phone
(330) 656-5901
NPI assigned
Apr 1, 2014
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.15578 OH
Family Nurse Practitioner 363LF0000X COA.15578-NP OH Primary

Addresses

Primary practice location

5700 Darrow Rd Ste 106
Hudson, OH 44236-5026

Mailing address

5700 Darrow Rd Ste 106
Hudson, OH 44236-5026
Phone (330) 656-5901

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
I20140626002371 OH Practitioner - Nurse Practitioner 0749405140 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as group
Quality
97.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15578OHMDFamily Nurse Practitioner
COA.15578-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mves Austintown LLC CurrentSince May 29, 2014 Accepting new patients
Mahoning Valley Emergency Specialists LLC CurrentSince Jul 7, 2015 Accepting new patients
Triad Health Services, LLC Family CurrentSince Mar 1, 2020 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

7629 Market St
Ste 100
Youngstown, OH 44512
Phone (330) 792-0583

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1083032692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD STE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365026",
            "telephone_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD STE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365026",
            "telephone_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORACCO",
        "first_name": "MAGGIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15578",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15578-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.