Individual provider Active NPI

Laurel Ann Carroll, APRN

  • Family Nurse Practitioner
  • Dover, OH
National Provider Identifier
1497213011
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024339 Issued in OH
Practice address
400 Medical Park Dr Ste 101
Dover, OH 44622-3207
Phone
(330) 343-7581
NPI assigned
Mar 4, 2019
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024339 OH Primary

Addresses

Primary practice location

400 Medical Park Dr Ste 101
Dover, OH 44622-3207

Mailing address

400 Medical Park Dr Ste 101
Dover, OH 44622-3207
Phone (330) 343-7581

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.024339OtherOHOHIO NURSING LICENSE

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
I20200424001202 OH Practitioner - Nurse Practitioner 3476983982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 364-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024339OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Physician Services, LLC CurrentSince Mar 24, 2020 Accepting new patients

Locations

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

821 Anola St
Ste C
Dover, OH 44622
Phone (330) 343-7581

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.

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1497213011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR STE 101",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-343-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR STE 101",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-343-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LAUREL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO NURSING LICENSE",
            "identifier": "APRN.CNP.024339",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.