Individual provider Active NPI

Nancy Silverman, AGCNS

  • Gerontology Clinical Nurse Specialist
  • Dayton, OH
National Provider Identifier
1629454848
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
COA.17879-NS Issued in OH
Practice address
40 N Main St
Ste 1360
Dayton, OH 45423-1021
Phone
(937) 252-2003
Fax
(888) 965-4549
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X COA.17879-NS OH Primary

Addresses

Primary practice location

40 N Main St
Ste 1360
Dayton, OH 45423-1021

Mailing address

3921 Shroyer Rd
Kettering, OH 45429-2821
Phone (937) 603-5368

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
I20151119001551 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 7719287929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Wright State University Boonshoft School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Healthcare LLCGroup PAC ID 1456648989, 21 clinicians

Practice addresses (Care Compare)

7575 Paragon Rd
Dayton, OH 45459-5316
Phone (937) 684-2802

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
62.04 of 100Reported as group
Quality
29.8
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17879-NSOHMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healthcare LLC CurrentSince Jul 17, 2016 Accepting new patients

Locations

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

1263 Glen Dr
#B
Millersburg, OH 44654
Phone (330) 264-4899

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

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.

Hospital & facility affiliations 1

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1629454848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 SHROYER RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292821",
            "telephone_number": "937-603-5368",
            "fax_number": "937-258-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "address_2": "STE 1360",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454231021",
            "telephone_number": "937-252-2003",
            "fax_number": "888-965-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "NANCY",
        "credential": "AGCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "COA.17879-NS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.