Brandy Lacivita, APRN.CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.026035 Issued in OH

Practice address

116 Carriage Dr
Columbiana, OH 44408-8306

Phone

(330) 482-3871

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palliative Care Support Solutions, LLCGroup PAC ID 2769807122, 6 clinicians

Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
• Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100Reported as group

Quality

71.12

Promoting interoperability

100

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blacivita178320@direct.bsmhealth.org

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.

• Palliative Care Support Solutions, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Coolville, OH
  • NPI 1154941417
  Medicare reassignment Care Compare group NPD
• Triad Health Services, LLC

  dba Southwoods Physician Services

  • Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1588925457

  Family

  Medicare reassignment Care Compare group NPD
• Ohio North East Health Systems, Inc.

  • Community Health Clinic/Center
  • Youngstown, OH
  • NPI 1700917267
  Medicare reassignment NPD
• Caremed Ohio LLC

  • Multi-Specialty Clinic/Center
  • Toledo, OH
  • NPI 1669123949
  Medicare reassignment
• Wound Med LLC

  • Nursing Care Agency
  • Shaker Heights, OH
  • NPI 1790521060
  Medicare reassignment
• Ohio North East Health Systems Inc

  dba Northside Dental Center

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1699236059
  NPD
• The Surgery Center at Southwoods, LLC

  dba The Surgical Hospital at Southwoods

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Youngstown LLC

  dba Mercy Health St Elizabeth Boardman Hospital

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1790868982
  Care Compare affiliation
• The Surgery Center at Southwoods, LLC

  dba The Surgical Hospital at Southwoods

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1255964276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CARRIAGE DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088306",
            "telephone_number": "330-482-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACIVITA",
        "first_name": "BRANDY",
        "credential": "APRN.CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Rehabilitation Systems Inc (Keystone Physical Therapy)
• Erika Gail Hricik Kinkead, FNP-C
• Karen Sue Kocis, M.A.
• Kristen Barefield Therapy
• Jamie R Krosky
• James Edward Lease Jr.
• Janet Lorraine Leipheimer, FNP-C
• Lindsay Frederick DMD LLC
• Stacey L Lindsay, RN
• Denis R Lunne, M.D.

• Family Nurse Practitioner in Columbiana, OH
• Providers in Columbiana, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.