Individual provider Active NPI

Sandra Marie Perrett, FNP-C, APRN

  • Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1437753555
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0028037 Issued in OH
Practice address
3499 Belmont Ave
Youngstown, OH 44505-1807
Phone
(330) 476-2260
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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 0028037 OH Primary

Addresses

Primary practice location

3499 Belmont Ave
Youngstown, OH 44505-1807

Mailing address

3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 759-0085

Other practice location 1

421 S High St
Cortland, OH 44410-1437
Phone (330) 485-0670

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
I20210419002424 OH Practitioner - Nurse Practitioner 9335557065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

250 Debartolo PL
Suite 3000
Youngstown, OH 44512-6026
Phone (234) 287-6709

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0028037OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Med Urgent Care LLC CurrentSince Mar 14, 2021 Accepting new patients
Steward Emergency Physicians Ohio Inc CurrentSince Feb 28, 2022 Accepting new patients
Triad Health Services, LLC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
The Surgery Center at Southwoods, LLC PastSince Feb 1, 2024 Accepting new patients

Locations

421 S High St
Cortland, OH 44410
Phone (330) 485-0670

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

250 Debartolo Pl
Ste 3000
Youngstown, OH 44512
Phone (234) 287-6709

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

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 4

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1437753555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051807",
            "telephone_number": "330-759-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051807",
            "telephone_number": "330-476-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 S High St",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "OH",
            "postal_code": "444101437",
            "country_code": "US",
            "telephone_number": "330-485-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRETT",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "FNP-C, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0028037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.