Active NPI
Lisamarie Pietragallo, NP-C
- Family Nurse Practitioner
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.-16648-NP
- Practice address
- 9375 E Market St
Suite 1
Warren, OH 44484-5552 - Phone
- (330) 609-5089
- NPI assigned
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.-16648-NP | OH | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 16648-NP | OH |
Addresses
Primary practice location
9375 E Market St
Suite 1
Warren, OH 44484-5552
Mailing address
9375 E Market St
Suite 1
Warren, OH 44484-5552
Phone (330) 609-5089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.-16648-NP | OH | MD | Family Nurse Practitioner |
| 16648-NP | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of Pennsylvania LLC | Current | Accepting new patients | |
| Medoptions of Ohio LLC | Family | Current | Accepting new patients |
| Medoptions of Kentucky LLC | Current | Accepting new patients | |
| Triad Health Services, LLC | Family | Past | Accepting new patients |
Locations
1595 S US Highway 231
Beaver Dam, KY 42320
Phone (270) 274-4477
50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871
1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
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 and National Provider Directory roles.
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- Psychiatry Physician
- Frankfort, KY
- NPI 1518412121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1376946319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 E MARKET ST",
"address_2": "SUITE 1",
"city": "WARREN",
"state": "OH",
"postal_code": "444845552",
"telephone_number": "330-609-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9375 E MARKET ST",
"address_2": "SUITE 1",
"city": "WARREN",
"state": "OH",
"postal_code": "444845552",
"telephone_number": "330-609-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRAGALLO",
"first_name": "LISAMARIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.-16648-NP",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "16648-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.