Individual provider Active NPI

Allison Bottorff

  • Family Nurse Practitioner
  • Warren, OH
National Provider Identifier
1871051037
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024194 Issued in OH
Practice address
1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone
(330) 306-5452
Fax
(330) 306-6946
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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 APRN.CNP.024194 OH Primary

Addresses

Primary practice location

1932 Niles Cortland Rd NE
Warren, OH 44484-1055

Mailing address

1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone (330) 306-5452

Other practice location 1

1171 Academy Dr
Youngstown, OH 44505-1621
Phone (330) 503-7165

Other practice location 2

1977 Niles Rd SE
Warren, OH 44484-5118
Phone (330) 393-6446

Other identifiers 1

IdentifierTypeStateIssuer
0354023MedicaidOH

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
I20190613002699 OH Practitioner - Nurse Practitioner 5294068896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 Mercy Ctr PL
Cincinnati, OH 45237-6147

2200 Jefferson Ave
FL 5
Toledo, OH 43604-7102

250 E Federal St
FL 4
Youngstown, OH 44503-1814

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024194OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems Inc CurrentSince May 1, 2019 Accepting new patients
Ohio North East Health Systems, Inc. CurrentSince May 1, 2019 Accepting new patients
Mercy Health Physicians Youngstown, LLC Current Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Apr 12, 2021 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1977 Niles Rd SE
Warren, OH 44484
Phone (330) 372-5800

1932 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 306-5300

1950 Niles Cortland Rd NE
Ste 7
Warren, OH 44484
Phone (330) 306-6947

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

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

Interoperability endpoints

  • Direct secure messaging: abottorff61567@direct.bsmhealth.org

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.

Hospital & facility affiliations 2

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1871051037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841055",
            "telephone_number": "330-306-5452",
            "fax_number": "330-306-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841055",
            "telephone_number": "330-306-5452",
            "fax_number": "330-306-6946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Academy Dr",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051621",
            "country_code": "US",
            "telephone_number": "330-503-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1977 Niles Rd SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444845118",
            "country_code": "US",
            "telephone_number": "330-393-6446",
            "fax_number": "330-884-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTORFF",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.