Individual provider Active NPI

Allison Orndorff, MSN, CRNP, NP-C

  • Family Nurse Practitioner
  • Cortland, OH
National Provider Identifier
1508528175
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024531 Issued in PA
Practice address
2600 Elm Rd NE
Cortland, OH 44410-9337
Phone
(330) 372-8810
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.0031279 OH
Family Medicine Physician 207Q00000X SP024531 PA
Family Nurse Practitioner 363LF0000X SP024531 PA Primary

Addresses

Primary practice location

2600 Elm Rd NE
Cortland, OH 44410-9337

Mailing address

3362 Fox Creek LN
Sharpsville, PA 16150-9330
Phone (724) 854-9032

Other identifiers 4

IdentifierTypeStateIssuer
SP024531OtherPASTATE BOARD OF NURSING
APRN.CNP.0031279OtherOHSTATE BOARD OF NURSING
RN.506807OtherOHRN STATE BOARD OF NURSING
RN0694861OtherPARN STATE BOARD OF NURSING

Other names 1

  • Miss Allison Erceg Former name

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
I20221021000327 OH Practitioner - Nurse Practitioner 8628444338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumbull Mahoning Medical Group, Inc.Group PAC ID 3779537022, 7 clinicians

Practice addresses (Care Compare)

2600 Elm Rd NE
Cortland, OH 44410-9393
Phone (330) 372-8800

Hospital & facility affiliations

  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
SP024531PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trumbull Mahoning Medical Group, Inc. Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Trumbull Mahoning Medical Group, Inc. Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Trumbull Mahoning Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

2600 State Route 5
Cortland, OH 44410
Phone (330) 372-8800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1508528175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 FOX CREEK LN",
            "city": "SHARPSVILLE",
            "state": "PA",
            "postal_code": "161509330",
            "telephone_number": "724-854-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109337",
            "telephone_number": "330-372-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNDORFF",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.0031279",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP024531",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "SP024531",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "APRN.CNP.0031279",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN STATE BOARD OF NURSING",
            "identifier": "RN.506807",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN STATE BOARD OF NURSING",
            "identifier": "RN0694861",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "ERCEG",
            "prefix": "MISS",
            "credential": "MSN, CRNP, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.