Individual provider Active NPI

Andrea Lynn Svoboda, NP-C

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1265989016
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019843 Issued in OH
Practice address
1053 Belmont Ave
Youngstown, OH 44504-1007
Phone
(330) 480-7350
Fax
(330) 746-7436
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X APRN.CNP.019843 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.019843 OH Primary

Addresses

Primary practice location

1053 Belmont Ave
Youngstown, OH 44504-1007

Mailing address

1053 Belmont Ave
Youngstown, OH 44504-1007
Phone (330) 480-7350

Other practice location 1

1340 Belmont Ave Ste 2200
Youngstown, OH 44504-1131
Phone (330) 746-7400

Other practice location 2

1340 Belmont Ave Ste 2200
Youngstown, OH 44504-1131
Phone (330) 746-7400

Other practice location 3

905 Sahara Trl
Poland, OH 44514-3687
Phone (330) 729-1933

Other practice location 4

1340 Belmont Ave Ste 2200
Youngstown, OH 44504-1131
Phone (330) 480-7350

Other identifiers 1

IdentifierTypeStateIssuer
0185666MedicaidOH

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
I20161018000857 OH Practitioner - Nurse Practitioner 0941598387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

905 Sahara TRL
Poland, OH 44514-3687
Phone (330) 729-8970

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Oct 3, 2016 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown, LLC Neurology CurrentSince Oct 3, 2016 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

905 Sahara Trl
Youngstown, OH 44514
Phone (330) 726-0100

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1053 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-3605

1340 Belmont Ave
Ste 2200
Youngstown, OH 44504
Phone (330) 480-7350

Interoperability endpoints

  • Direct secure messaging: asvoboda38888@direct.bsmhealth.org

Organizations & group practices 4

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 3

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1265989016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041007",
            "telephone_number": "330-480-7350",
            "fax_number": "330-746-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041007",
            "telephone_number": "330-480-7350",
            "fax_number": "330-746-7436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Belmont Ave Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041131",
            "country_code": "US",
            "telephone_number": "330-746-7400",
            "fax_number": "330-746-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Belmont Ave Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041131",
            "country_code": "US",
            "telephone_number": "330-746-7400",
            "fax_number": "330-746-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Sahara Trl",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445143687",
            "country_code": "US",
            "telephone_number": "330-729-1933",
            "fax_number": "330-729-3878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Belmont Ave Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041131",
            "country_code": "US",
            "telephone_number": "330-480-7350",
            "fax_number": "330-746-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "APRN.CNP.019843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.