Active NPI
Michele A Ieraci, APRN-CNP
- Adult Health Nurse Practitioner
- Youngstown, OH
National Provider Identifier
1467769935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN.CNP.11620
- Practice address
- 925 Trailwood Dr
Youngstown, OH 44512-5008 - Phone
- (330) 758-7575
- NPI assigned
- Sep 7, 2010
- Last updated
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.11620 | OH | Primary |
Addresses
Primary practice location
925 Trailwood Dr
Youngstown, OH 44512-5008
Mailing address
8006 Grayson Dr
Canfield, OH 44406-7614
Phone (330) 533-1673
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
925 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 758-7575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0610016 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Rehabilitation Associates | Current | Accepting new patients |
Locations
925 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-7575
Interoperability endpoints
- mieraci35479@direct.bsmhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Youngstown, OH
- NPI 1720205065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1467769935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8006 GRAYSON DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444067614",
"telephone_number": "330-533-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 TRAILWOOD DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445125008",
"telephone_number": "330-758-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IERACI",
"first_name": "MICHELE",
"middle_name": "A",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.11620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.