Individual provider Active NPI

Heather J Ischo, FNP-C

  • Family Nurse Practitioner
  • Hermitage, PA
National Provider Identifier
1275300063
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028839 Issued in PA
Practice address
2213 Shenango Valley Freeway
Suite 1a
Hermitage, PA 16148
Phone
(724) 342-5890
Fax
(724) 981-3874
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 SP028839 PA Primary

Addresses

Primary practice location

2213 Shenango Valley Freeway
Suite 1a
Hermitage, PA 16148

Mailing address

2213 Shenango Valley Freeway
Suite 1a
Hermitage, PA 16148
Phone (724) 342-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240618004203 PA Practitioner - Nurse Practitioner 8628511615 Reassigns benefits to 1 organization
I20250116003184 OH Practitioner - Nurse Practitioner 8628511615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028839PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valeri L Roth D O P C CurrentSince May 1, 2024 Accepting new patients
Tenor Health Foundation Sharon, LLC Past Accepting new patients
My Consulting and Management LLC PastSince May 8, 2022 Accepting new patients

Locations

2213 Shenango Valley Fwy
Unit 1A
Hermitage, PA 16148
Phone (724) 342-5890

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1275300063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FREEWAY",
            "address_2": "SUITE 1A",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-342-5890",
            "fax_number": "724-981-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FREEWAY",
            "address_2": "SUITE 1A",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-342-5890",
            "fax_number": "724-981-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISCHO",
        "first_name": "HEATHER",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.