Individual provider Active NPI

Alyssa Renee Braund

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1295497980
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029393 Issued in OH
Practice address
540 Parmalee Ave Ste 610
Youngstown, OH 44510-1605
Phone
(330) 744-4369
NPI assigned
Oct 10, 2021
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 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.0029393 OH Primary

Addresses

Primary practice location

540 Parmalee Ave Ste 610
Youngstown, OH 44510-1605

Mailing address

540 Parmalee Ave Ste 610
Youngstown, OH 44510-1605
Phone (330) 744-4369

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
I20220525000788 OH Practitioner - Nurse Practitioner 0840677233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Ohio Infectious Disease Association IncGroup PAC ID 5799781829, 14 clinicians

Practice addresses (Care Compare)

7000 S Ave
Suite 2
Boardman, OH 44512-3644
Phone (330) 744-4369

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Nov 1, 2023 Accepting new patients
Northeastern Ohio Infectious Disease Association Inc CurrentSince May 2, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 1, 2023 Accepting new patients
Northeastern Ohio Infectious Disease Association, Inc. Past Accepting new patients

Locations

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

540 Parmalee Ave
Ste 610
Youngstown, OH 44510
Phone (330) 480-2078

7000 South Ave
Ste 2
Youngstown, OH 44512
Phone (330) 726-3456

8175 Market St
Youngstown, OH 44512
Phone (330) 629-8800

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • Direct secure messaging: abraund231041@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1295497980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE STE 610",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-744-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE STE 610",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-744-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUND",
        "first_name": "ALYSSA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.