Individual provider Active NPI

Audra Mihalic, FNP

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1235618372
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023227 Issued in OH
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

Updated by the provider on Oct 8, 2024

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 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 Former name

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
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

LicenseStateTypeSpecialty
APRN.CNP.023227OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Sep 1, 2020 Accepting new patients
Cornerstone Nurse Practitioners of Ohio LLC CurrentSince Aug 5, 2025 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

  • Direct secure messaging: azayas350090@direct.bsmhealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.