Individual provider Active NPI

Michele A Ieraci, APRN-CNP

  • Adult Health Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1467769935
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.11620 Issued in OH
Practice address
925 Trailwood Dr
Youngstown, OH 44512-5008
Phone
(330) 758-7575
NPI assigned
Sep 7, 2010
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000512 OH Practitioner - Nurse Practitioner 3577745546 Reassigns benefits to 1 organization

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
Pulmonary Rehabilitation AssociatesGroup PAC ID 7719964485, 8 clinicians

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

LicenseStateTypeSpecialty
A0610016OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Rehabilitation Associates CurrentSince Feb 2, 2011 Accepting new patients

Locations

925 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-7575

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.