Active NPI
Audra Mihalic, FNP
- Family Nurse Practitioner
- Lorain, OH
National Provider Identifier
1235618372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.023227
- Practice address
- 4340 Leavitt Rd
Lorain, OH 44053-2386 - Phone
- (440) 444-0497
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.023227 | OH | Primary |
Addresses
Primary practice location
4340 Leavitt Rd
Lorain, OH 44053-2386
Mailing address
4340 Leavitt Rd
Lorain, OH 44053-2386
Other names 1
- Audra Zayas
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180904002169 | OH | Practitioner - Nurse Practitioner | 1052661543 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.023227 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health-Allen Hospital LLC | Current | Accepting new patients | |
| Mercy Health-Allen Hospital LLC | Current | Accepting new patients | |
| Cornerstone Nurse Practitioners of Ohio LLC | Current | Accepting new patients |
Locations
105 Opportunity Way
Lagrange, OH 44050
Phone (440) 222-4160
98 S 30th St
Newark, OH 43055
Phone (740) 344-0303
Interoperability endpoints
- azayas350090@direct.bsmhealth.org
- amihalic622088@ehrdirect.uhhospitals.org
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Lagrange, OH
- NPI 1306070594
-
- Critical Access Hospital
- Oberlin, OH
- NPI 1801825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1235618372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 LEAVITT RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440532386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 LEAVITT RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440532386",
"telephone_number": "440-444-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHALIC",
"first_name": "AUDRA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.023227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDRA",
"last_name": "ZAYAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.