Katherine Veneskey
Individual provider Active NPI Family Nurse Practitioner · Youngstown, OH
NPI 1568034072 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1568034072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0029282 (OH)
- Practice address
- 135 N Cadillac Dr
Youngstown, OH 44512-3317 - Phone
- (330) 565-0921
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinnacle Integrated Health LLC
Practice addresses (Care Compare)
914 Trailwood Dr
Boardman, OH 44512-5007
Phone (330) 758-6440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220405000596 | OH | Practitioner - Nurse Practitioner | 7113313958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0029282 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Integrated Health, LLC | Current |
Accepting new patients |
Locations
914 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-6440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0029282 | OH | Yes |
Addresses
Primary practice location
135 N Cadillac Dr
Youngstown, OH 44512-3317
Mailing address
914 Trailwood Dr
Boardman, OH 44512-5007
Phone (330) 758-6440
Other providers in Youngstown, OH
- Yania Velez Nieves
- Jose M Velez
- Ashia Nichole Venable
- Domonique Michelle Venable
- Angelina Veneroso
- Praveen Venkatachalam
- Michele Marie Vennetti
- Jessica Lynn Vesa
- Vetreans Administration
- Christine Claudine Veverka
All providers in Youngstown, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.