Individual provider Active NPI

Isaac M Archibeque, FNP-BC

  • Family Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1124882634
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035241 Issued in OH
Practice address
48462 Bell School Rd
East Liverpool, OH 43920-9625
Phone
(724) 773-1995
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 APRN.CNP.0035241 OH Primary

Addresses

Primary practice location

48462 Bell School Rd
East Liverpool, OH 43920-9625

Mailing address

48462 Bell School Rd
East Liverpool, OH 43920-9625
Phone (724) 773-1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240301003819 PA Practitioner - Nurse Practitioner 9830534692 Reassigns benefits to 1 organization
I20240327004249 OH Practitioner - Nurse Practitioner 9830534692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group Inc 229 clinicians

Practice addresses (Care Compare)

48462 Bell School Rd
Suite a
East Liverpool, OH 43920-9625
Phone (724) 773-3404

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035241OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Heritage Valley Multispecialty Group, Inc CurrentSince Feb 12, 2024 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Feb 12, 2024 Accepting new patients

Locations

48462 Bell School Rd
East Liverpool, OH 43920
Phone (330) 385-1770

48462 Bell School Rd
Ste A
East Liverpool, OH 43920
Phone (330) 385-9492

48462 Bell School Rd
Ste C
East Liverpool, OH 43920
Phone (330) 385-0222

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

79 Wagner Rd
Ste 200
Monaca, PA 15061
Phone (724) 773-1994

Interoperability endpoints

  • Direct secure messaging: isaacarchibeque@hvhs.allscriptsdirect.net

Organizations & group practices 3

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 3

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1124882634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48462 BELL SCHOOL RD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209625",
            "telephone_number": "724-773-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48462 BELL SCHOOL RD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209625",
            "telephone_number": "724-773-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBEQUE",
        "first_name": "ISAAC",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.