Individual provider Active NPI

Daniel J Anderson, FNP-C

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1801312707
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021384 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504
Phone
(330) 746-7211
NPI assigned
Aug 22, 2017
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN.382065 OH
Nurse Practitioner 363L00000X APRN.CNP.021384 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.021384 OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504

Mailing address

7629 Market St Ste 100
Youngstown, OH 44512-6051
Phone (330) 965-5050

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
I20171003007432 OH Practitioner - Nurse Practitioner 8224303177 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox Community HospitalGroup PAC ID 1153301833, 117 clinicians
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

1490 Coshocton
Suite B
Mount Vernon, OH 43050-6099
Phone (740) 393-9111

1490 Coshocton Ave
Mount Vernon, OH 43050-6099
Phone (740) 393-9111

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

Hospital & facility affiliations

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
RN.382065OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Nurse Practitioner CurrentSince Sep 15, 2024 Accepting new patients
Quick Med Urgent Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Triad Health Services, LLC Nurse Practitioner CurrentSince May 13, 2019 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

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

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

120 N Lincoln Ave
Salem, OH 44460
Phone (234) 320-7770

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

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

6615 Clingan Rd
Ste A
Youngstown, OH 44514
Phone (330) 707-1425

7629 Market St
Ste 100
Youngstown, OH 44512
Phone (330) 792-0583

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • Direct secure messaging: daniel.anderson.1@19801.direct.athenahealth.com
  • Direct secure messaging: daniel.anderson.1@31985.direct.athenahealth.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 8

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.

Hospital & facility affiliations 1

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1801312707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 MARKET ST STE 100",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126051",
            "telephone_number": "330-965-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44504",
            "telephone_number": "330-746-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-07-01",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.382065",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021384",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.