Individual provider Active NPI

Ashley Korosa, CNP

  • Family Nurse Practitioner
  • Massillon, OH
National Provider Identifier
1366900649
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024385 Issued in OH
Practice address
7452 Fulton Dr NW Ste B
Massillon, OH 44646-9393
Phone
(330) 833-4596
Fax
(330) 833-1817
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 024385 OH Primary

Addresses

Primary practice location

7452 Fulton Dr NW Ste B
Massillon, OH 44646-9393

Mailing address

944 Cherry St E
Canal Fulton, OH 44614-8669
Phone (330) 854-4281

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.korosa@chci.eclinicaldirectplus.com Community Health Care Inc.

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
I20190319000636 OH Practitioner - Nurse Practitioner 6204176829

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024385OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron Past Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley.korosa@chci.eclinicaldirectplus.com

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1366900649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 CHERRY ST E",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148669",
            "telephone_number": "330-854-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7452 FULTON DR NW STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469393",
            "telephone_number": "330-833-4596",
            "fax_number": "330-833-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROSA",
        "first_name": "ASHLEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.korosa@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "address_1": "7452 Fulton Dr NW Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446469393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.