COYOTE R CAPASSO (FNP) – Family Nurse Practitioner, NPI 1841890076

COYOTE R CAPASSO (FNP) is a healthcare provider. based in New carlisle, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. APRN.CNP.025985 (OH). The NPI Number for COYOTE R CAPASSO (FNP) is 1841890076

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
COYOTE R CAPASSO (FNP)
NPI
1841890076
Phone
(937) 667-1122
Address
106 N MAIN ST
Enumeration Date
27 October 2020
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372816800
Graduation Year
2019 (7 years ago)
PAC ID
9638589658
Group Practice PAC ID
9335300904
Professional Enrollment ID
I20201103001698
Address ID
OH454061814DA2261XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for COYOTE R CAPASSO (FNP)

  • 106 N MAIN ST

    NEW CARLISLE, OH 453441835

    Phone: (937) 667-1122

    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)

CMS reports 19 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ViiV Healthcare Company ($125).

Total Amount

$393

General + Research + Ownership

Payments

19

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-11-03

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
I20201103001698INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45344)

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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: 9335300904View full group profile
NameSpecialtyState
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Internal MedicineOH
Nurse PractitionerOH
Family PracticeOH
P O D I A T R YOH
Family PracticeOH
Family PracticeOH
Family PracticeOH

Reviews

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Frequently asked questions

What identifier follows COYOTE R CAPASSO (FNP) across health systems?
The NPI 1841890076 uniquely identifies COYOTE R CAPASSO (FNP) in U.S. healthcare data.
Should I treat COYOTE R CAPASSO (FNP) as an active provider?
Patients and plans typically see COYOTE R CAPASSO (FNP) as active in the national extract.
What type of care does COYOTE R CAPASSO (FNP) provide?
COYOTE R CAPASSO (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to COYOTE R CAPASSO (FNP)?
COYOTE R CAPASSO (FNP) shows a connection to New Carlisle, Ohio in registry-derived data.
Can I export COYOTE R CAPASSO (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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