Individual provider Active NPI

Andi Hrusovsky

  • Physician Assistant
  • North Lima, OH
National Provider Identifier
1487319778
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9471 Market St Ste a
North Lima, OH 44452-8702
Phone
(330) 726-7100
NPI assigned
Nov 2, 2021
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OH Primary

Addresses

Primary practice location

9471 Market St Ste a
North Lima, OH 44452-8702

Mailing address

2059 Bedford Rd
Lowellville, OH 44436-9753

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
I20211230000947 OH Practitioner - Physician Assistant 3072904069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 Royal Birkdale Dr
Suite a
Columbiana, OH 44408-8493
Phone (330) 729-1934

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-2371

5533 Mahoning Ave
FL 2
Austintown, OH 44515-2366
Phone (330) 480-3533

564 E 2ND St
Salem, OH 44460-2914
Phone (234) 567-8150

9471 Market St
North Lima, OH 44452-8702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Physician Assistant CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jan 3, 2022 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

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

Interoperability endpoints

  • Direct secure messaging: ahrusovsky1068751@direct.bsmhealth.org

Organizations & group practices 4

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 5

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1487319778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 BEDFORD RD",
            "city": "LOWELLVILLE",
            "state": "OH",
            "postal_code": "444369753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9471 MARKET ST STE A",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528702",
            "telephone_number": "330-726-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUSOVSKY",
        "first_name": "ANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lima, OH

Sources for this page

Verify at the official NPI Registry.