Individual provider Active NPI

Peggy Hart

  • Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1477002947
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP.019389 Issued in OH
Practice address
703 Tyler St Ste 352
Sandusky, OH 44870-3391
Phone
(419) 557-6161
Fax
(419) 557-5596
NPI assigned
Sep 26, 2016
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 CNP.019389 OH Primary

Addresses

Primary practice location

703 Tyler St Ste 352
Sandusky, OH 44870-3391

Mailing address

1912 Hayes Ave Ste 1E
Sandusky, OH 44870-4736
Phone (419) 557-5594

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
I20161103001333 OH Practitioner - Nurse Practitioner 2860770310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1470W McPherson Hwy
Clyde, OH 43410-1010
Phone (419) 547-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.019389OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Oct 3, 2016 Accepting new patients
North Coast Professional Company, LLC Nurse Practitioner CurrentSince Oct 3, 2016 Accepting new patients

Locations

1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1031 Pierce St
Sandusky, OH 44870
Phone (419) 557-5541

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1912 Hayes Ave
Ste 1E
Sandusky, OH 44870
Phone (419) 557-5541

5420 Milan Rd
Sandusky, OH 44870
Phone (419) 557-5052

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: peggy.hart@fpg.medicity.net

Organizations & group practices 2

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 6

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1477002947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE STE 1E",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 TYLER ST STE 352",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703391",
            "telephone_number": "419-557-6161",
            "fax_number": "419-557-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "PEGGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "CNP.019389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.