Individual provider Active NPI

Alyssa Sickle, MD

  • Obstetrics & Gynecology Physician
  • Mansfield, OH
National Provider Identifier
1902302342
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.140800 Issued in OH
Practice address
500 S Trimble Rd
Mansfield, OH 44906-4103
Phone
(419) 756-6000
Fax
(419) 756-7885
NPI assigned
Apr 4, 2018
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.140800 OH Primary

Addresses

Primary practice location

500 S Trimble Rd
Mansfield, OH 44906-4103

Mailing address

500 S Trimble Rd
Mansfield, OH 44906-4103
Phone (419) 756-6000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803003404 OH Practitioner - Obstetrics/Gynecology 9830571066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Mansfield Obstetrics and Gynecology Associates IncGroup PAC ID 8123052800, 5 clinicians

Practice addresses (Care Compare)

24 E Whitney Ave
Shelby, OH 44875-1282
Phone (567) 247-0870

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

500 S Trimble Rd
Mansfield, OH 44906-4103
Phone (419) 756-6000

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.3 of 100Reported as group
Quality
94.03
Improvement activities
40
Cost
75.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mansfield Obstetrics & Gynecology Associates Inc Single Specialty CurrentSince Jul 26, 2022 Accepting new patients
Avita Ontario Hospital Past Accepting new patients
Medcentral Health System Past Accepting new patients

Locations

500 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-6000

Interoperability endpoints

  • Direct secure messaging: alyssa.sickle@wcareinc.gwaydirect.com
  • Direct secure messaging: asickle1047869@direct.osumc.edu
  • FHIR API: https://ihismufhir.osumc.edu/fhir-prd/api/FHIR/R4/

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.

Hospital & facility affiliations 4

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1902302342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000",
            "fax_number": "419-756-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000",
            "fax_number": "419-756-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLE",
        "first_name": "ALYSSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.140800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.