Carly Marie Amendola, PA-C
Individual provider Active NPI Physician Assistant · Sebring, OH
NPI 1710777107 · NPPES record last updated Aug 20, 2025
Key facts
- NPI
- 1710777107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.009241RX (OH)
- Practice address
- 605 E Ohio Ave
Sebring, OH 44672-1643 - Phone
- (877) 469-7476
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Youngstown Specialty Care LLC
Practice addresses (Care Compare)
107 Royal Birkdale Dr
Suite a
Columbiana, OH 44408-8493
Phone (330) 729-1934
1552 N Rd SE
Suite 101
Warren, OH 44484-2900
Phone (330) 480-3679
1932 Niles Cortland Rd NE
Warren, OH 44484-1055
1934 Niles Cortland Rd NE
Suite B
Warren, OH 44484-1055
Phone (330) 841-4032
410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000
4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-2371
564 E 2ND St
Salem, OH 44460-2914
Phone (234) 567-8150
605 E Ohio Ave
Sebring, OH 44672-1643
Phone (330) 729-3125
61 Talsman Dr
Canfield, OH 44406-1207
Phone (877) 469-7476
Hospital & facility affiliations
- HMHP St Elizabeth Boardman Health Center
- MH St Elizabeth Youngstown Hospital
- Salem Regional Medical Center
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 |
|---|---|---|---|---|
| I20250827000982 | OH | Practitioner - Physician Assistant | 5294236824 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Current |
Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
605 E Ohio Ave
Sebring, OH 44672
Phone (330) 537-4661
Interoperability endpoints
- camendola2958174@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.009241RX | OH | Yes |
Addresses
Primary practice location
605 E Ohio Ave
Sebring, OH 44672-1643
Mailing address
605 E Ohio Ave
Sebring, OH 44672-1643
Phone (877) 469-7476
Other providers in Sebring, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2025. 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.