Active NPI
Sara Derringer Pease, CNP
- Family Nurse Practitioner
- East Liverpool, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 09718NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2820700 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09718NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Physicians, LLC | Current | 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
- sarap@ondemand.medentdirect.com
- sara.pease@rvp.eclinicaldirectplus.com
- 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.
-
- Internal Medicine Physician
- Austintown, OH
- NPI 1629468061
-
- Multi-Specialty Clinic/Center
- East Liverpool, OH
- NPI 1891756870
-
- Addiction (Substance Use Disorder) Counselor
- Austintown, OH
- NPI 1093257859
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.