Individual provider Active NPI

Giavanna M Tkach, BSN RN

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1245856947
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.427304 Issued in OH
Practice address
8591 Crossroads Drive
Youngstown, OH 44514
Phone
(330) 758-0577
Fax
(330) 758-0466
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 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 RN.427304 OH Primary

Addresses

Primary practice location

8591 Crossroads Drive
Youngstown, OH 44514

Mailing address

8591 Crossroads Drive
Youngstown, OH 44514
Phone (330) 758-0577

Other practice location 1

1695 Niles Cortland Rd NE
Warren, OH 44484-1165
Phone (330) 758-0577

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
I20200910002959 OH Practitioner - Nurse Practitioner 2466870290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngstown Orthopaedic Associates LTDGroup PAC ID 4587559562, 37 clinicians

Practice addresses (Care Compare)

1695 Niles Cortland Rd NE
Warren, OH 44484-1165
Phone (330) 758-0577

Hospital & facility affiliations

  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Merit-based Incentive Payment System (MIPS)

Final score
70.01 of 100Reported as group
Quality
64.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.427304OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Youngstown Orthopaedic Associates LTD CurrentSince Aug 17, 2020 Accepting new patients
Youngstown Orthopaedic Associates LTD PastSince Aug 17, 2020 Accepting new patients

Locations

6470 Tippecanoe Rd
Canfield, OH 44406
Phone (330) 729-2737

1695 Niles Cortland Rd NE
Ste 2
Warren, OH 44484

1695 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 758-0577

8591 Crossroads Dr
Youngstown, OH 44514
Phone (330) 758-0577

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1245856947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 CROSSROADS DRIVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44514",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 CROSSROADS DRIVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44514",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841165",
            "country_code": "US",
            "telephone_number": "330-758-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TKACH",
        "first_name": "GIAVANNA",
        "middle_name": "M",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.427304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.