NPIMap

Individual provider Active NPI

Deborah Scally, NP-C

  • Family Nurse Practitioner
  • Huron, OH
National Provider Identifier
1831634625
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020362 Issued in OH
Practice address
353 Ontario St
Huron, OH 44839-1726
Phone
(614) 893-8122
Fax
(419) 616-3770
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN293600 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.020362 OH Primary

Addresses

Primary practice location

353 Ontario St
Huron, OH 44839-1726

Mailing address

353 Ontario St
Huron, OH 44839-1726
Phone (614) 893-8122

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
I20170418002800 OH Practitioner - Nurse Practitioner 2860778289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN293600OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Mar 13, 2017 Accepting new patients
North Coast Professional Company, LLC CurrentSince Mar 13, 2017 Accepting new patients

Locations

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1221 Hayes Ave
Ste B
Sandusky, OH 44870
Phone (419) 557-6550

1221 Hayes Ave
Ste F
Sandusky, OH 44870
Phone (419) 557-6550

1221 Hayes Ave
Ste J
Sandusky, OH 44870
Phone (419) 557-6787

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

Interoperability endpoints

  • Direct secure messaging: deborah.scally@fpg.medicity.net

Organizations & group practices 2

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 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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1831634625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 ONTARIO ST",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391726",
            "telephone_number": "614-893-8122",
            "fax_number": "419-616-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 ONTARIO ST",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391726",
            "telephone_number": "614-893-8122",
            "fax_number": "419-616-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLY",
        "first_name": "DEBORAH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN293600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, OH

Sources for this page

Verify at the official NPI Registry.