ANITA MARIE CICCARELLI (CNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235548660

ANITA MARIE CICCARELLI (CNP, PMHNP) is a healthcare provider. based in Canton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP, PMHNP. They hold a License No. RN282837 (OH). The NPI Number for ANITA MARIE CICCARELLI (CNP, PMHNP) is 1235548660

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ANITA MARIE CICCARELLI (CNP, PMHNP)
NPI
1235548660
Phone
(330) 455-0374
Address
625 CLEVELAND AVE NW
Enumeration Date
11 August 2014
Last Update Date
16 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
3306658000
Graduation Year
2013 (13 years ago)
PAC ID
7315266822
Group Practice PAC ID
4183529340
Professional Enrollment ID
I20150505002138
Address ID
OH443332483AK4125XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for ANITA MARIE CICCARELLI (CNP, PMHNP)

  • 625 CLEVELAND AVE NW

    CANTON, OH 447021805

    Phone: (330) 455-0374

    Fax: (330) 455-2101

    Type: Mailing

  • 130 1ST ST NW

    MASSILLON, OH 446475452

    Phone: (330) 455-0374

    Fax: (330) 455-2101

    Type: Location

  • 4510 DRESSLER RD NW

    CANTON, OH 447182546

    Phone: (216) 450-1613

    Fax: (216) 450-1614

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,485.

Total Amount is formed as General ($1,485) + Research ($0) + Ownership ($0) = $1,485.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($336).

Total Amount

$1,485

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-05-05

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
I20150505002138INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes17747$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4224$0
90792Psychiatric diagnostic evaluation with medical services1616$0
View full utilization report →

Insurance plans in this area (ZIP 44702)

Loading plans...

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: 4183529340View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Gynecological OncologyFL
-OH
A N E S T H E S I O L O G YIL
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
Rheumatology, Internal MedicineOH
Nurse PractitionerOH
-OH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for ANITA MARIE CICCARELLI (CNP, PMHNP)?
Save NPI 1235548660 if you need a stable reference for ANITA MARIE CICCARELLI (CNP, PMHNP).
Is ANITA MARIE CICCARELLI (CNP, PMHNP)'s NPI currently valid?
The extract we use shows ANITA MARIE CICCARELLI (CNP, PMHNP) as active.
What kind of provider is ANITA MARIE CICCARELLI (CNP, PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for ANITA MARIE CICCARELLI (CNP, PMHNP). Clinical services aligned with this taxonomy classification.
What location shows for ANITA MARIE CICCARELLI (CNP, PMHNP)?
We surface Canton, Ohio for ANITA MARIE CICCARELLI (CNP, PMHNP) based on available NPPES addresses.
Is ANITA MARIE CICCARELLI (CNP, PMHNP) a real provider?
This page reflects official NPPES data for NPI 1235548660. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MR. ROBERT M PARSONS (CNP)

Psychiatric/Mental Health Nurse Practitioner
16 COLONIAL DR
NPI: 1588625081
524 Maxwell Ave
NPI: 1225076631

SHARON A HOOPINGARNER (CNP)

Psychiatric/Mental Health Nurse Practitioner
624, Market Avenue North, Upper Downtown Canton Historic District, Canton, Stark County, Ohio, 44702, United States
NPI: 1093747784

MRS. CATHERINE L. BUSWELL (APRN.CNP)

Psychiatric/Mental Health Nurse Practitioner
624 Market Ave N
NPI: 1184657165

KIMBERLY A MARSHALL (APRN-CNP)

Psychiatric/Mental Health Nurse Practitioner
2638 Easton ST NE. (Oakwood Square)
NPI: 1710909197

MRS. HEIDI RENEE VRACIU (CNP)

Psychiatric/Mental Health Nurse Practitioner
Canton Studen Loan Foundation, Higbee Avenue Northwest, Jackson Township, Stark County, Ohio, 44718, United States
NPI: 1144328105

TARA L DAVIS (CNP, LPCC-S)

Psychiatric/Mental Health Nurse Practitioner
625 CLEVELAND AVE NW
NPI: 1821118530