Alyssa Peddicord, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0026823 Issued in OH

Practice address

5300 N Meadows Dr BLDG 1
Grove City, OH 43123-2546

Phone

(614) 627-2000

NPI assigned

Apr 24, 2020

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Inpatient Care Inc.Group PAC ID 3476586025, 28 clinicians

Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Mount Carmel St Ann's Hospital, Westerville, OH, CCN 360012
• Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score

79.44 of 100Reported as group

Quality

75.57

Promoting interoperability

79

Improvement activities

40

Cost

73.41

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apeddicord1154983@direct.trinity-health.org

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.

• Columbus Inpatient Care Inc.

  • Internal Medicine Physician
  • Grove City, OH
  • NPI 1467430801
  Medicare reassignment Care Compare group NPD
• Mount Carmel Healthproviders Two LLC

  dba Mount Carmel Medical Group

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1134154750
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Licking Memorial Hospital

  • General Acute Care Hospital
  • Newark, OH
  • NPI 1568446755
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Westerville, OH
  • NPI 1417037045
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1205456761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR BLDG 1",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-627-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR BLDG 1",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-627-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDDICORD",
        "first_name": "ALYSSA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0026823",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "395945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Payne
• Miyona Payne, LPN
• Peace of Heaven Homecare LLC
• Amber Machele Peaks-Coulibaly
• John Pearson
• Pediatric Therapy Specialists of Grove City
• Sam Pelkey, D.M.D.
• Karen J Pentella, M.D.
• Robin Lynnette Penwell, LPN
• Justin Thomas Perdue, R.N.

• Family Nurse Practitioner in Grove City, OH
• Providers in Grove City, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.