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CARLY RAE TEPSICK FNP-C
NPI 1073268249
Nurse Practitioner - Family in Poland, OH

Active since February 16, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
715 E WESTERN RESERVE RD, POLAND, OH 44514(330) 726-3204(330) 729-9316 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Feb 16, 2022 (2 updates tracked since 2022).

About Carly Rae Tepsick Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY RAE TEPSICK FNP-C (NPI 1073268249) is an individual family provider in Poland, Ohio, licensed in Ohio (APRN.CNP.0030759) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073268249
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY RAE TEPSICKCredential: FNP-C
Location Address715 E WESTERN RESERVE RDPoland, OH 44514-3358
Mailing Address715 E Western Reserve RdPoland, OH 44514-3358 · (330) 726-3204 · Fax (330) 729-9316
Phone(330) 726-3204
Fax(330) 729-9316
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 16, 2022
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1073268249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0030759
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License APRN.CNP.0030759 (OH)
715 E WESTERN RESERVE RD, Poland, OH 44514
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1627 Eastland Ave SE Ste 301Warren, OH 44484-4501 · Phone (330) 392-3099 · Fax (330) 395-1721
Location 21001 Belmont AveYoungstown, OH 44504-1003 · Phone (330) 747-6446 · Fax (330) 747-6843

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly Rae Tepsick Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739575077
PECOS Enrollment IDI20220413001020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE LYNN SESSER AGACNP-BC
Nurse Practitioner (Acute Care)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
JASON JOSEPH KOENIG NP-C
Nurse Practitioner (Family)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DR. JOHN D. SCROCCO M.D.
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
JODI MICSKY CNP
Nurse Practitioner (Primary Care)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
MR. TIMOTHY BYRNES
Internal Medicine (Clinical Cardiac Electrophysiology)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DAVID MICHAEL KLACIK CNP
Nurse Practitioner (Family)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DR. KWON T. MILLER D.O.
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
YOUNGSTOWN, OH 44514
Mahoning County (330) 726-3204
DIAGNOSTIC CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Tepsick's NPI number?

The NPI number for Carly Tepsick is 1073268249. It was assigned to this individual provider in the NPPES registry on February 16, 2022.

Where is Carly Tepsick located?

Carly Tepsick practices at 715 E Western Reserve Rd, Poland, OH 44514. The listed phone number is (330) 726-3204.

What is Carly Tepsick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carly Tepsick enrolled in Medicare?

Yes. Carly Tepsick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carly Tepsick accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Carly Tepsick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carly Tepsick affiliated with any hospitals?

According to CMS data, Carly Tepsick is affiliated with St Elizabeth Youngstown Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Carly Tepsick was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.