Individual provider Active NPI

Jessica L Sitler, CNP

  • Acute Care Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1205489382
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP-024662 Issued in OH
Practice address
904 Sahara TRL
Youngstown, OH 44514-3695
Phone
(330) 758-9787
NPI assigned
Jul 18, 2019
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CNP-024662 OH Primary

Addresses

Primary practice location

904 Sahara TRL
Youngstown, OH 44514-3695

Mailing address

904 Sahara TRL
Youngstown, OH 44514-3695
Phone (330) 758-9787

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
I20190814000509 OH Practitioner - Nurse Practitioner 7810224888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

250 Debartolo PL
Youngstown, OH 44512-6026

6262 Mahoning Ave
Suite B
Youngstown, OH 44515-2056
Phone (330) 758-9787

7600 Southern Blvd
Youngstown, OH 44512-6085

7629 Market St
Youngstown, OH 44512-6051

9375 E Market St
Warren, OH 44484-5552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-024662OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Jul 22, 2019 Accepting new patients
Southwoods Health at Home, LLC PastSince Sep 1, 2021 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Advanced Urology Inc Past Accepting new patients

Locations

9375 E Market St
Ste 2B
Warren, OH 44484
Phone (330) 758-9787

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

250 Debartolo Pl
Ste 3000
Youngstown, OH 44512
Phone (234) 287-6590

6262 Mahoning Ave
Ste B
Youngstown, OH 44515
Phone (330) 758-9787

7600 Southern Blvd
Ste 1
Youngstown, OH 44512
Phone (330) 629-8466

7629 Market St
Ste 200
Youngstown, OH 44512
Phone (330) 729-8000

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

904 Sahara Trl
Youngstown, OH 44514
Phone (216) 758-9787

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1205489382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SAHARA TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143695",
            "telephone_number": "330-758-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SAHARA TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143695",
            "telephone_number": "330-758-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITLER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "CNP-024662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.