Individual provider Active NPI

Jenna Renee Zorzi

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1629658026
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028765 Issued in OH
Practice address
935 Trailwood Dr
Youngstown, OH 44512-5062
Phone
(330) 953-3204
NPI assigned
Apr 9, 2021
Last updated
Dec 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11200480 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0028765 OH Primary

Addresses

Primary practice location

935 Trailwood Dr
Youngstown, OH 44512-5062

Mailing address

7663 Huntington Dr
Boardman, OH 44512-4047
Phone (330) 770-7061

Other identifiers 1

IdentifierTypeStateIssuer
0439688MedicaidOH

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
I20220302002493 OH Practitioner - Nurse Practitioner 4385038678 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11200480OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Women's Care Inc Single Specialty CurrentSince Nov 24, 2021 Accepting new patients
Anthony P. Koulianos MD Inc Single Specialty PastSince Dec 3, 2023 Accepting new patients

Locations

1111 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 965-0909

Interoperability endpoints

  • Direct secure messaging: jenna.powell@306803888029700.direct.elationemr.com
  • Direct secure messaging: jpowell942696@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1629658026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7663 HUNTINGTON DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124047",
            "telephone_number": "330-770-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TRAILWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125062",
            "telephone_number": "330-953-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORZI",
        "first_name": "JENNA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F11200480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439688",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.