Individual provider Active NPI

Mary J Pascolini, CNP

  • Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1821390741
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.14534-NP Issued in OH
Practice address
6505 Market St Ste 2100
Boardman, OH 44512-3457
Phone
(330) 746-8040
Fax
(330) 746-8025
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.14534-NP OH Primary

Addresses

Primary practice location

6505 Market St Ste 2100
Boardman, OH 44512-3457

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 746-8040

Other names 1

  • Mary J Bess Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpascolini30846@direct.chmca.org

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
I20140603002587 OH Practitioner - Nurse Practitioner 9537346572 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14534-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Apr 19, 2014 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Apr 19, 2014 Accepting new patients
Akron Children'S Hospital Current Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

6505 Market St
Ste 2100
Youngstown, OH 44512
Phone (330) 746-8040

6505 Market St
Bldg A
Youngstown, OH 44512
Phone (330) 651-1789

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1821390741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-746-8040",
            "fax_number": "330-746-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST STE 2100",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-746-8040",
            "fax_number": "330-746-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCOLINI",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.14534-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpascolini30846@direct.chmca.org",
            "affiliation": "N",
            "address_1": "6505 Market St Ste 2100",
            "city": "Boardman",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445123457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BESS",
            "middle_name": "J",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.