Alicia Lynn Agati
Individual provider Active NPI Family Nurse Practitioner · Youngstown, OH
NPI 1083495451 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1083495451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0034550 (OH)
- Practice address
- 1Trussel Way
Youngstown, OH 44555-0001 - Phone
- (330) 941-3000
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashtabula County Medical Center
Practice addresses (Care Compare)
8220 State Route 45
Orwell, OH 44076-9701
Phone (440) 437-3300
Hospital & facility affiliations
- Ashtabula Regional Home Health
- Ashtabula County Medical Center
- Cleveland Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117004223 | OH | Practitioner - Nurse Practitioner | 5890147631 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.454762 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashtabula County Medical Center | Current |
Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
8220 State Route 45
Orwell, OH 44076
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.454762 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0034550 | OH | Yes |
Addresses
Primary practice location
1Trussel Way
Youngstown, OH 44555-0001
Mailing address
8027 Raglan Dr NE
Warren, OH 44484-7400
Phone (330) 974-6753
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All providers in Youngstown, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.