Individual provider Active NPI

Sara Derringer Pease, CNP

  • Family Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1972792059
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
09718NP Issued in OH
Practice address
16761 Saint Clair Ave # 2
East Liverpool, OH 43920-9400
Phone
(330) 932-3301
Fax
(330) 368-0957
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 09718NP OH Primary

Addresses

Primary practice location

16761 Saint Clair Ave # 2
East Liverpool, OH 43920-9400

Mailing address

PO Box 645409
Pittsburgh, PA 15264-5252
Phone (330) 386-6442

Other practice location 1

330 N Market St Ste B
Lisbon, OH 44432-1146
Phone (330) 870-4595

Other identifiers 1

IdentifierTypeStateIssuer
2820700MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sara.pease@rvp.eclinicaldirectplus.com Direct River Valley Physicians, LLC
Direct Messaging Address sara.pease@rvp.eclinicaldirectplus.com Direct River Valley Physicians, LLC

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
I20101203000784 OH Practitioner - Nurse Practitioner 6406043389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Immediate Care LLCGroup PAC ID 7315289121, 6 clinicians

Practice addresses (Care Compare)

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone (330) 953-0243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09718NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Physicians, LLC CurrentSince Apr 30, 2018 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

16761 Saint Clair Ave
#2
East Liverpool, OH 43920
Phone (330) 385-9670

330 N Market St
#B
Lisbon, OH 44432
Phone (330) 870-4595

Interoperability endpoints

  • Direct secure messaging: sarap@ondemand.medentdirect.com
  • Direct secure messaging: sara.pease@rvp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1972792059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252",
            "telephone_number": "330-386-6442",
            "fax_number": "330-386-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SAINT CLAIR AVE # 2",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209400",
            "telephone_number": "330-932-3301",
            "fax_number": "330-368-0957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lisbon",
            "state": "OH",
            "postal_code": "444321146",
            "country_code": "US",
            "telephone_number": "330-870-4595",
            "fax_number": "330-870-4189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEASE",
        "first_name": "SARA",
        "middle_name": "DERRINGER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "09718NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2820700",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.pease@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16761 Saint Clair Ave # 2",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439209400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.pease@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "330 N Market St Ste B",
            "city": "Lisbon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444321146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.