Individual provider Active NPI

Andy Joseph Pappagallo, FNP

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1699402180
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031986 Issued in OH
Practice address
3499 Belmont Ave
Youngstown, OH 44505-1807
Phone
(330) 759-0085
NPI assigned
Aug 4, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0031986 OH Primary

Addresses

Primary practice location

3499 Belmont Ave
Youngstown, OH 44505-1807

Mailing address

6793 Fox Crossing CT
Austintown, OH 44515-5614
Phone (330) 559-2208

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.0031986OtherOHOHIO BOARD OF NURSING

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
I20221010002157 OH Practitioner - Nurse Practitioner 6406232727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 759-0085

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
69.32
Improvement activities
40
Cost
78.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031986OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Med Urgent Care LLC CurrentSince Aug 29, 2022 Accepting new patients

Locations

15 Boardman Canfield Rd
Ste 4
Boardman, OH 44512
Phone (330) 333-4200

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

Interoperability endpoints

  • Direct secure messaging: andy.pappagallo.1@19801.direct.athenahealth.com
  • Direct secure messaging: andy.pappagallo@521861120327684.direct.elationemr.com
  • Direct secure messaging: andy.pappagallo@779530956636164.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1699402180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6793 FOX CROSSING CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155614",
            "telephone_number": "330-559-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051807",
            "telephone_number": "330-759-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAGALLO",
        "first_name": "ANDY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRN.CNP.0031986",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.