Individual provider Active NPI

Sienna Collins, NP-C

  • Nurse Practitioner
  • Elyria, OH
National Provider Identifier
1467090829
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
025500 Issued in OH
Practice address
41201 Schadden Rd Ste 2
Elyria, OH 44035-2249
Phone
(440) 324-0405
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 025500 OH Primary
Gerontology Nurse Practitioner 363LG0600X 025500 OH

Addresses

Primary practice location

41201 Schadden Rd Ste 2
Elyria, OH 44035-2249

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

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
I20200123003170 OH Practitioner - Nurse Practitioner 4688009418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

41201 Schadden Rd
Suite 2
Elyria, OH 44035-2249
Phone (440) 324-0401

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025500OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients

Locations

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

3100 Plaza Properties Blvd
Columbus, OH 43219
Phone (614) 383-6000

41201 Schadden Rd
Ste 2
Elyria, OH 44035
Phone (440) 324-0401

Organizations & group practices 1

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 2

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1467090829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "831-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41201 SCHADDEN RD STE 2",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352249",
            "telephone_number": "440-324-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SIENNA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "025500",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "025500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.