ALISA KATRADIS (CPNP) – Nurse Practitioner, NPI 1205960739

ALISA KATRADIS (CPNP) is a healthcare provider. based in Warren, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CPNP. They hold a License No. RN272090-COA1 (OH). The NPI Number for ALISA KATRADIS (CPNP) is 1205960739

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ALISA KATRADIS (CPNP)
NPI
1205960739
Phone
(330) 609-5588
Address
321 NILES CORTLAND RD NE
Enumeration Date
15 March 2007
Last Update Date
18 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2163316750
Graduation Year
2002 (24 years ago)
PAC ID
9032168042
Group Practice PAC ID
5991177313
Professional Enrollment ID
I20221027000874
Address ID
OH441333744NO12301RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for ALISA KATRADIS (CPNP)

  • 321 NILES CORTLAND RD NE

    WARREN, OH 444841974

    Phone: (330) 609-5588

    Fax: (330) 609-5740

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221027000874INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,214267$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12089$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes7713$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less6734$0
17250Application of chemical to stop tissue regrowth in wound3921$0
View full utilization report →

Insurance plans in this area (ZIP 44484)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991177313View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
P O D I A T R YOH
P O D I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is ALISA KATRADIS (CPNP)'s NPI number?
ALISA KATRADIS (CPNP)'s NPI is 1205960739 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ALISA KATRADIS (CPNP)?
For scheduling context, ALISA KATRADIS (CPNP) is shown as active in the registry.
What area of care is associated with ALISA KATRADIS (CPNP)?
ALISA KATRADIS (CPNP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ALISA KATRADIS (CPNP) associated with Warren?
Public fields place ALISA KATRADIS (CPNP) around Warren, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ALISA KATRADIS (CPNP) is noted as March 15, 2007 where the registry provides it.

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