Individual provider Active NPI

Angela D Scardina, MSN, APRN-BC

  • Adult Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1346420908
Registry record updated Nov 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-09760 Issued in OH
Practice address
1614 S Byrne Rd
B
Toledo, OH 43614-3464
Phone
(419) 385-5751
Fax
(419) 385-7162
NPI assigned
Nov 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP-09760 OH Primary

Addresses

Primary practice location

1614 S Byrne Rd
B
Toledo, OH 43614-3464

Mailing address

1614 S Byrne Rd
B
Toledo, OH 43614-3464
Phone (419) 385-5751

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
I20130215000316 OH Practitioner - Nurse Practitioner 0345494563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingston Care Partners, LLCGroup PAC ID 1850589102, 11 clinicians

Practice addresses (Care Compare)

1120 Dunaway St
Miamisburg, OH 45342-3839
Phone (937) 866-9089

4125 King Rd
Sylvania, OH 43560-4445
Phone (419) 824-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-09760OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Nov 1, 2016 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince May 1, 2018 Accepting new patients
Promedica Central Physicians CurrentSince Nov 1, 2016 Accepting new patients
Kingston Care Partners, LLC CurrentSince Nov 6, 2024 Accepting new patients

Locations

700 Lakeshire Trl
Adrian, MI 49221
Phone (419) 824-7419

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

Organizations & group practices 5

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": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194739200000",
    "number": "1346420908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 S BYRNE RD",
            "address_2": "B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143464",
            "telephone_number": "419-385-5751",
            "fax_number": "419-385-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 S BYRNE RD",
            "address_2": "B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143464",
            "telephone_number": "419-385-5751",
            "fax_number": "419-385-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDINA",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2007-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-09760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.