Individual provider Active NPI

Peggie L Reinhardt, MSN, FNP-BC

  • Family Nurse Practitioner
  • Ashtabula, OH
National Provider Identifier
1417367384
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15751-NP Issued in OH
Practice address
2259 Lake Ave
Ashtabula, OH 44004-3437
Phone
(440) 997-2262
Fax
(440) 997-6507
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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 COA.15751-NP OH Primary

Addresses

Primary practice location

2259 Lake Ave
Ashtabula, OH 44004-3437

Mailing address

354 W Main Rd
Conneaut, OH 44030-2043
Phone (440) 599-2262

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
I20140923000256 OH Practitioner - Nurse Practitioner 8426272881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashtabula County Medical CenterGroup PAC ID 2668465600, 70 clinicians

Practice addresses (Care Compare)

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-6969

8220 State Route 45
Orwell, OH 44076-9701
Phone (440) 437-3300

Hospital & facility affiliations

  • Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15751-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashtabula County Medical Center CurrentSince Jul 1, 2014 Accepting new patients
Emergency Professional Services, Inc. Family CurrentSince Nov 5, 2014 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2259 Lake Ave
Ashtabula, OH 44004
Phone (440) 994-7550

354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262

234 N Chestnut St
Jefferson, OH 44047
Phone (440) 576-8933

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

8220 State Route 45
Orwell, OH 44076

Interoperability endpoints

  • Direct secure messaging: preinhardt261568@direct.ccf.org

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.

Hospital & facility affiliations 1

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1417367384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 W MAIN RD",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302043",
            "telephone_number": "440-599-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043437",
            "telephone_number": "440-997-2262",
            "fax_number": "440-997-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "PEGGIE",
        "middle_name": "L",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15751-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.