Individual provider Active NPI

Sarah Liza Dangelo, RN, BSN, MSN, NP-C

  • Family Nurse Practitioner
  • Chesapeake, OH
National Provider Identifier
1871738856
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.10390-NP Issued in OH
Practice address
303 3Rd Ave
Chesapeake, OH 45619-1144
Phone
(866) 534-2639
Fax
(800) 480-7578
NPI assigned
Dec 5, 2008
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.10390-NP OH Primary
Family Nurse Practitioner 363LF0000X 093362-23 NH
Family Nurse Practitioner 363LF0000X APRN.CNP.10390 OH

Addresses

Primary practice location

303 3Rd Ave
Chesapeake, OH 45619-1144

Mailing address

303 3Rd Ave
Chesapeake, OH 45619-1144
Phone (866) 534-2639

Other practice location 1

11 King Ct
Keene, NH 03431-4649
Phone (866) 534-2639

Other practice location 2

372 West St Ste 102
Keene, NH 03431-2412
Phone (866) 534-2639

Other identifiers 2

IdentifierTypeStateIssuer
3107104MedicaidOH
3155116MedicaidNH

Other names 1

  • Sarah Liza Wise Former name

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
I20101119000008 OH Practitioner - Nurse Practitioner 4183810914 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
10390OHMDFamily Nurse Practitioner
COA.10390-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Jul 7, 2018 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Jan 6, 2018 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Jan 6, 2018 Accepting new patients

Locations

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

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

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1871738856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191144",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191144",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 King Ct",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034314649",
            "country_code": "US",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "372 West St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034312412",
            "country_code": "US",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANGELO",
        "first_name": "SARAH",
        "middle_name": "LIZA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN,  MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.10390-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "093362-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.10390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3107104",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3155116",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WISE",
            "middle_name": "LIZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, OH

Sources for this page

Verify at the official NPI Registry.