Individual provider Active NPI

Heidi Renee Vraciu, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1144328105
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
09040 Issued in OH
Practice address
4773 Higbee Ave NW
Canton, OH 44718-2551
Phone
(330) 492-6500
Fax
(330) 492-6502
NPI assigned
Sep 21, 2006
Last updated
Aug 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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 COA.09040-NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 09040 OH Primary

Addresses

Primary practice location

4773 Higbee Ave NW
Canton, OH 44718-2551

Mailing address

4773 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 492-6500

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
I20061106000047 OH Practitioner - Nurse Practitioner 4688671654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Canton Psychiatry LLCGroup PAC ID 5991036477, 3 clinicians

Practice addresses (Care Compare)

4773 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 492-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.09040-NPOHMDFamily Nurse Practitioner
09040OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Canton Psychiatry, LLC CurrentSince Aug 21, 2019 Accepting new patients

Locations

4773 Higbee Ave NW
Canton, OH 44718
Phone (330) 492-6500

Interoperability endpoints

  • Direct secure messaging: greatercantonpsychiatry.heidivraciu@128532.advancedmd-direct.com

Organizations & group practices 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1144328105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-492-6500",
            "fax_number": "330-492-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-492-6500",
            "fax_number": "330-492-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRACIU",
        "first_name": "HEIDI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.09040-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "09040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.