Individual provider Active NPI

Tracy Lynn Geiselman, APRN

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1396529921
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0035136 Issued in OH
Practice address
8401 Market St
Youngstown, OH 44512-6725
Phone
(330) 729-1112
NPI assigned
Aug 23, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0035136 OH Primary
Emergency Registered Nurse 163WE0003X 426424 OH

Addresses

Primary practice location

8401 Market St
Youngstown, OH 44512-6725

Mailing address

124 Woodland Dr
New Middletown, OH 44442-9434

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
I20240415003267 OH Practitioner - Nurse Practitioner 6507205267 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
426424OHMDEmergency Registered Nurse
0035136OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC CurrentSince Apr 6, 2024 Accepting new patients
Mves Boardman LLC CurrentSince Apr 6, 2024 Accepting new patients
4M Emergency Systems LLC CurrentSince Feb 17, 2024 Accepting new patients
Mves Austintown LLC CurrentSince Apr 6, 2024 Accepting new patients

Locations

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

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

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1396529921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WOODLAND DR",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444429434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISELMAN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0035136",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "426424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.