NPIMap

Individual provider Active NPI

Gina Risaliti, NP

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1730595083
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0099587 Issued in OH
Practice address
2500 W Strub Rd
Suite 230
Sandusky, OH 44870-5390
Phone
(419) 625-1200
Fax
(419) 625-0624
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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 0099587 OH Primary

Addresses

Primary practice location

2500 W Strub Rd
Suite 230
Sandusky, OH 44870-5390

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930000627 OH Practitioner - Nurse Practitioner 1456571272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Toledo Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, shared by 44 NPIs, 252 clinicians

Practice addresses (Care Compare)

2500 W Strub Rd
Sandusky, OH 44870-5390

Hospital & facility affiliations

  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0099587OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Aug 17, 2014 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 7, 2015 Accepting new patients
North Coast Professional Company, LLC CurrentSince May 1, 2016 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Aug 17, 2014 Accepting new patients
North Coast Professional Company, LLC CurrentSince May 1, 2016 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

2500 W Strub Rd
Ste 120
Sandusky, OH 44870
Phone (419) 502-5932

1326 E Perkins Ave
Sandusky, OH 44870
Phone (419) 625-0654

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

2500 W Strub Rd
Ste 230
Sandusky, OH 44870
Phone (419) 625-1200

2500 W Strub Rd
Ste 120A
Sandusky, OH 44870
Phone (419) 502-2273

Interoperability endpoints

  • Direct secure messaging: grisaliti20687@nomshealthcare.direct-ci.com

Organizations & group practices 6

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 8

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1730595083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD",
            "address_2": "SUITE 230",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-625-1200",
            "fax_number": "419-625-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISALITI",
        "first_name": "GINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0099587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.