Individual provider Active NPI

Debra Ann Wrenn

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1457961856
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0027266 Issued in OH
Practice address
3499 Belmont Ave
Youngstown, OH 44505-1807
Phone
(330) 476-2260
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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 0027266 OH Primary

Addresses

Primary practice location

3499 Belmont Ave
Youngstown, OH 44505-1807

Mailing address

3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 476-2260

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
I20201014002710 OH Practitioner - Nurse Practitioner 0042630931 Reassigns benefits to 4 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
4M Emergency Systems LLCGroup PAC ID 7719882182, 29 clinicians

Practice addresses (Care Compare)

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
69.32
Improvement activities
40
Cost
78.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0027266OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC CurrentSince Dec 2, 2025 Accepting new patients
Mves Boardman LLC CurrentSince Dec 2, 2025 Accepting new patients
Quick Med Urgent Care LLC CurrentSince Sep 1, 2020 Accepting new patients
4M Emergency Systems LLC CurrentSince Dec 2, 2025 Accepting new patients
Mves Austintown LLC CurrentSince Dec 2, 2025 Accepting new patients

Locations

955 N Court St
Medina, OH 44256
Phone (330) 616-3900

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

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

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

4990 Mahoning Ave
Youngstown, OH 44515
Phone (330) 609-5533

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

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

Interoperability endpoints

  • Direct secure messaging: debra.wrenn.1@19801.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1457961856",
    "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": "330-476-2260"
        },
        {
            "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": [],
    "basic": {
        "last_name": "WRENN",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.