Individual provider Active NPI

Andra L Kurtz, NP-C

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1336589902
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA14592-NP Issued in OH
Practice address
1019 Pierce St
Sandusky, OH 44870-4633
Phone
(419) 626-1118
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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 COA14592-NP OH Primary

Addresses

Primary practice location

1019 Pierce St
Sandusky, OH 44870-4633

Mailing address

1019 Pierce St
Sandusky, OH 44870-4633
Phone (419) 626-1118

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
I20130812000873 OH Practitioner - Nurse Practitioner 4789826231 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
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1912 Hayes Ave
Sandusky, OH 44870-4736
Phone (419) 557-6780

300 Williams St
Huron, OH 44839-1648
Phone (419) 433-5222

703 Tyler St
Sandusky, OH 44870-3391

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA14592-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Aug 1, 2013 Accepting new patients
North Coast Professional Company, LLC CurrentSince Aug 1, 2013 Accepting new patients

Locations

300 Williams St
Huron, OH 44839
Phone (419) 433-5222

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1019 Pierce St
Sandusky, OH 44870
Phone (419) 626-1118

5420 Milan Rd
Ste C
Sandusky, OH 44870
Phone (419) 557-6490

1031 Pierce St
Ste D
Sandusky, OH 44870

Interoperability endpoints

  • Direct secure messaging: andra.kurtz@fpg.medicity.net

Organizations & group practices 2

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 7

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1336589902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PIERCE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704633",
            "telephone_number": "419-626-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PIERCE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704633",
            "telephone_number": "419-626-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "ANDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA14592-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.