NPIMap

Individual provider Active NPI

Beth Earles

  • Family Nurse Practitioner
  • Salem, OH
National Provider Identifier
1225680127
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
025089 Issued in OH
Practice address
1995 E State St
Salem, OH 44460-2423
Phone
(330) 337-4940
NPI assigned
Jul 10, 2019
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 025089 OH Primary

Addresses

Primary practice location

1995 E State St
Salem, OH 44460-2423

Mailing address

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-4940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Beth.Earles@salemretional.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190809002181 OH Practitioner - Nurse Practitioner 8224365481 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
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem, OH 44460-2423
Phone (330) 337-4940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025089OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation CurrentSince Jul 2, 2019 Accepting new patients

Locations

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

2525 Southeast Blvd
Salem, OH 44460
Phone (330) 332-7524

Interoperability endpoints

  • Direct secure messaging: beth.earles@salemregional.medicity.net
  • Direct secure messaging: beth.earles@salemretional.medicity.net

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.

Hospital & facility affiliations 7

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1225680127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-332-4940",
            "fax_number": "330-332-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-337-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLES",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "025089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Beth.Earles@salemretional.medicity.net",
            "affiliation": "N",
            "address_1": "1995 E State St",
            "city": "Salem",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444602423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.