Individual provider Active NPI

Paul Tascoe, MSN, APRN, ACNPC-AG

  • Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1083581268
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0040655 Issued in OH
Practice address
7430 Southern Blvd
Boardman, OH 44512-5629
Phone
(330) 729-9214
NPI assigned
Oct 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0040655 OH Primary

Addresses

Primary practice location

7430 Southern Blvd
Boardman, OH 44512-5629

Mailing address

34 Carter Cir Apt 5
Boardman, OH 44512-6606
Phone (480) 253-7158

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
I20260105000978 OH Practitioner - Nurse Practitioner 2860988391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neo Urology Associates IncGroup PAC ID 8628088036, 18 clinicians

Practice addresses (Care Compare)

7430 Southern Blvd
Boardman, OH 44512-5629
Phone (330) 729-9214

Hospital & facility affiliations

  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0040655OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Urology Associates Inc CurrentSince Dec 29, 2025 Accepting new patients
Dermatology Associates of Youngstown Inc PastSince Nov 7, 2025 Accepting new patients

Locations

6262 Mahoning Ave
Ste C
Youngstown, OH 44515
Phone 3307299214225

7430 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-9214

Organizations & group practices 2

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 5

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1083581268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CARTER CIR APT 5",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126606",
            "telephone_number": "480-253-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 SOUTHERN BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125629",
            "telephone_number": "330-729-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCOE",
        "first_name": "PAUL",
        "credential": "MSN, APRN, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0040655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.