Individual provider Active NPI

Erin N Stanley, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Norwalk, OH
National Provider Identifier
1619639911
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.0029238 Issued in OH
Practice address
282 Benedict Ave Ste B
Norwalk, OH 44857-2712
Phone
(419) 668-9409
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.0029238 OH Primary

Addresses

Primary practice location

282 Benedict Ave Ste B
Norwalk, OH 44857-2712

Mailing address

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-9409

Other identifiers 1

IdentifierTypeStateIssuer
0463523MedicaidOH

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
I20211208000231 OH Practitioner - Nurse Practitioner 1951791896 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029238OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Center Current Accepting new patients
Fisher-Titus Medical Care LLC CurrentSince Nov 15, 2021 Accepting new patients

Locations

282 Benedict Ave
Ste B
Norwalk, OH 44857
Phone (419) 668-9409

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1619639911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-668-9409",
            "fax_number": "419-668-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE B",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ERIN",
        "middle_name": "N",
        "credential": "APRN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0029238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.