Individual provider Active NPI

Edward Cornman, CRNP

  • Acute Care Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1336572312
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.14845 Issued in OH
Practice address
8401 Market St
Boardman, OH 44512-6725
Phone
(330) 729-4298
Fax
(330) 729-1897
NPI assigned
Aug 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP013965 PA
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.14845 OH Primary

Addresses

Primary practice location

8401 Market St
Boardman, OH 44512-6725

Mailing address

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-4298

Other practice location 1

3550 Terrace Street Scaife Hall Sixth Floor
Pittsburgh, PA 15261-0001
Phone (412) 647-3136

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cornmane@upmc.edu
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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
I20130917000374 OH Practitioner - Nurse Practitioner 8820232697 Reassigns benefits to 3 organizations
I20140922000059 PA Practitioner - Nurse Practitioner 8820232697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Living Palliative Care Greater Toledo LLCGroup PAC ID 3476803594, 16 clinicians

Practice addresses (Care Compare)

1730 S Reynolds Rd
Toledo, OH 43614-1402
Phone (419) 865-1499

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-2929

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 9, 2014 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince Oct 24, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 9, 2014 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

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

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

1730 S Reynolds Rd
Toledo, OH 43614
Phone (419) 701-9809

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

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

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

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

Interoperability endpoints

  • Direct secure messaging: ecornman36580@direct.bsmhealth.org

Organizations & group practices 7

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1336572312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-4298",
            "fax_number": "330-729-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-4298",
            "fax_number": "330-729-1897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Terrace Street Scaife Hall Sixth Floor",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152610001",
            "country_code": "US",
            "telephone_number": "412-647-3136",
            "fax_number": "412-578-9213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNMAN",
        "first_name": "EDWARD",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP013965",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.14845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cornmane@upmc.edu",
            "affiliation": "N",
            "address_1": "3550 Terrace Street Scaife Hall Sixth Floor",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152610001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.