Individual provider Active NPI

Victoria Yuschak, FNP-BC

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1407502305
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0031002 Issued in OH
Practice address
4126 N Holland Sylvania Rd Ste 105
Toledo, OH 43623-3541
Phone
(419) 479-5605
Fax
(419) 473-2049
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0031002 OH Primary

Addresses

Primary practice location

4126 N Holland Sylvania Rd Ste 105
Toledo, OH 43623-3541

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5605

Other practice location 1

1200 Medical Center Pkwy
Maumee, OH 43537-1921
Phone (419) 794-7720

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
I20221129002107 OH Practitioner - Nurse Practitioner 8628446416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4126 N Holland Sylvania Rd
Suite 105
Toledo, OH 43623-3541
Phone (419) 479-5605

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031002OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Nov 17, 2022 Accepting new patients
Toledo Clinic Incorporated CurrentSince Nov 17, 2022 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

960 W Wooster St
Ste 111
Bowling Green, OH 43402
Phone (419) 353-5419

1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720

4330 Navarre Ave
Ste 103
Oregon, OH 43616
Phone (419) 691-7820

4126 N Holland Sylvania Rd
Ste 105
Toledo, OH 43623
Phone 4194795605 ext. 5711

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

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.

Hospital & facility affiliations 3

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1407502305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5605",
            "fax_number": "419-473-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD STE 105",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233541",
            "telephone_number": "419-479-5605",
            "fax_number": "419-473-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371921",
            "country_code": "US",
            "telephone_number": "419-794-7720",
            "fax_number": "419-724-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSCHAK",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.