Individual provider Active NPI

Ryan Scovanner, FNP-C

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1245967538
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032349 Issued in OH
Practice address
703 Tyler St Ste 151
Sandusky, OH 44870-3392
Phone
(419) 627-0207
NPI assigned
Aug 5, 2022
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 APRN.CNP.0032349 OH Primary

Addresses

Primary practice location

703 Tyler St Ste 151
Sandusky, OH 44870-3392

Mailing address

703 Tyler St Ste 151
Sandusky, OH 44870-3392

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
I20221013000985 OH Practitioner - Nurse Practitioner 0840666087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

703 Tyler St
Suite 151
Sandusky, OH 44870-3392
Phone (419) 627-0207

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Oct 1, 2022 Accepting new patients
North Coast Professional Company, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1912 Hayes Ave
Ste 1
Sandusky, OH 44870

703 Tyler St
Ste 151
Sandusky, OH 44870
Phone (419) 627-0207

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: ryan.scovanner@fpg.medicity.net

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, 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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1245967538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 TYLER ST STE 151",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 TYLER ST STE 151",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703392",
            "telephone_number": "419-627-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVANNER",
        "first_name": "RYAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.