Individual provider Active NPI

Pamela Ann Grassick, APRN

  • Primary Care Nurse Practitioner
  • Ashland, OH
National Provider Identifier
1205415452
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.0028322 Issued in OH
Practice address
1941 S Baney Rd
Ashland, OH 44805-4502
Phone
(419) 289-0333
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0028322 OH Primary

Addresses

Primary practice location

1941 S Baney Rd
Ashland, OH 44805-4502

Mailing address

2054 Millsboro Rd
Mansfield, OH 44906-3329
Phone (419) 565-8010

Other names 1

  • Pamela Ann Deal Former name

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
I20210513000905 OH Practitioner - Nurse Practitioner 4688083157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

124 Hill St
Bucyrus, OH 44820-1511
Phone (567) 560-3790

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

Hospital & facility affiliations

  • Avita Home Health and Hospice Home health agency, Galion, OH, CCN 367403
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Marion General Hospital Hospital, Marion, OH, CCN 360011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Past Accepting new patients
Galion Community Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pgrassick896393@direct.osumc.edu

Organizations & group practices 4

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 6

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1205415452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 MILLSBORO RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063329",
            "telephone_number": "419-565-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S BANEY RD",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054502",
            "telephone_number": "419-289-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSICK",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0028322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DEAL",
            "middle_name": "ANN",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.