Brankica Podravac, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

COA 17917 NP Issued in OH

Practice address

535 Marmion Ave
Youngstown, OH 44502

Phone

(330) 782-5664

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Springs Physician Group, LLCGroup PAC ID 4183004781, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Highland Springs Physician Group, LLC

  • Psychiatry Physician
  • Highland Hills, OH
  • NPI 1316682800
  Medicare reassignment Care Compare group NPD
• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633
  Medicare reassignment NPD
• Psych Foundations, LLC

  • Psychiatry Physician
  • Wadsworth, OH
  • NPI 1871165498
  Medicare reassignment NPD
• Highland Springs Physician Group, LLC

  • Psychiatry Physician
  • Solon, OH
  • NPI 1598402117
  NPD
• Compass Family and Community Services

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1699742239
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1225414410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HIGH ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811222",
            "telephone_number": "330-394-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44502",
            "telephone_number": "330-782-5664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Erie St S",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446467976",
            "country_code": "US",
            "telephone_number": "330-833-3135 x2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODRAVAC",
        "first_name": "BRANKICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA 17917 NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154636",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Greater Ohio
• Michael P Platt, QMHS
• Loretta Pleas
• Julie Plesich
• Antonia Plourde, C.T.
• Jabrail D Poindexter, CDCA-PRE
• Mariah Poindexter
• Sierra Monet Poindexter
• Gregory Michael Polcha Jr., DO
• Cara Poli

• Psychiatric/Mental Health Nurse Practitioner in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.