Justin Daniel Pykare, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

353219-1 Issued in OH

Practice address

726 Wick Ave
Youngstown, OH 44505-2827

Phone

(330) 747-9551

NPI assigned

Aug 7, 2015

Last updated

Nov 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio North East Health Systems IncGroup PAC ID 1951395086, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.pykare.p1@direct.oho.nextgenshare.com

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.

• Ohio North East Health Systems, Inc.

  • Community Health Clinic/Center
  • Youngstown, OH
  • NPI 1700917267
  Medicare reassignment Care Compare group NPD
• Ohio North East Health Systems Inc

  dba Northside Dental Center

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1699236059
  NPD
• Ohio North East Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Warren, OH
  • NPI 1316935265
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Youngstown LLC

  dba St Joseph Health Center

  • Clinical Medical Laboratory
  • Warren, OH
  • NPI 1538233309

  Hospital

  Care Compare affiliation
• Mercy Health Youngstown LLC

  dba Mercy Health St Joseph Warren Hospital

  • General Acute Care Hospital
  • Warren, OH
  • NPI 1629009964
  Care Compare affiliation

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1801272265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRENT PL",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101300",
            "telephone_number": "330-747-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 WICK AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052827",
            "telephone_number": "330-747-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYKARE",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "353219-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Purkinje Health LLC (Nava Care)
• Purple Kisses LLC
• Eugene Joseph Pusateri, D.P.M.
• Shelby Putnam
• Kyle S Puz, CDCA, QMHS
• Syed Quadri, M.D.
• Qualityhomecare LLC
• Deland Quarles
• Elaine Quarles
• Holly Queen, LPC

• Family Nurse Practitioner in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.