Unknown Individual – Pediatric Nurse Practitioner, NPI 1700129129
Pediatric Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3315 N RIDGE RD E STE 100
ASHTABULA, OH 440044347
Phone:
Type: Mailing
1527 W 19th St
Ashtabula, OH 440043033
Phone: (440) 964-3733
Fax: (440) 964-7069
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $806.
Total Amount is formed as General ($806) + Research ($0) + Ownership ($0) = $806.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Corium, LLC ($221).
Total Amount
$806
General + Research + Ownership
Payments
43
Total payment records
General Amount
$806
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $221 |
| PFIZER INC. | $164 |
| IRONSHORE PHARMACEUTICALS INC. | $134 |
| GlaxoSmithKline, LLC. | $75 |
| Merck Sharp & Dohme LLC | $45 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 44004)
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