Active NPI
Angela Medancic, PNP
- Nurse Practitioner
- Hudson, OH
National Provider Identifier
1235840729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- TBD
- Practice address
- 5603 Darrow Rd Ste 200
Hudson, OH 44236-5015 - Phone
- (440) 637-3855
- NPI assigned
- Dec 6, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | TBD | OH | Primary |
Addresses
Primary practice location
5603 Darrow Rd Ste 200
Hudson, OH 44236-5015
Mailing address
5603 Darrow Rd Ste 200
Hudson, OH 44236-5015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TBD | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices | Past | Accepting new patients |
Interoperability endpoints
- amedancic615904@ehrdirect.uhhospitals.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1235840729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603 DARROW RD STE 200",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5603 DARROW RD STE 200",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365015",
"telephone_number": "440-637-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDANCIC",
"first_name": "ANGELA",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "TBD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.