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MRS. LORRAINE COALMER PHD, APRN-CNS-BC, CC
NPI 1083188965
Clinical Nurse Specialist in Youngstown, OH

Active since January 14, 2019PECOS EnrolledAccepts Medicare Assignment
452 BROADWAY AVE, YOUNGSTOWN, OH 44504(330) 480-2866(330) 480-4084 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2024, Dec 8, 2023, Oct 10, 2023 and 1 more (4 updates tracked since 2019).

About Mrs. Lorraine Coalmer Phd, Aprn-cns-bc, Cc NPPES

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

MRS. LORRAINE COALMER PHD, APRN-CNS-BC, CC (NPI 1083188965) is an individual clinical nurse specialist in Youngstown, Ohio, licensed in Ohio (APRN.CNS.09308) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1083188965
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameMRS. LORRAINE COALMERCredential: PHD, APRN-CNS-BC, CC
Location Address452 BROADWAY AVEYoungstown, OH 44504-1556
Mailing Address452 Broadway AveYoungstown, OH 44504-1556 · (330) 480-2866 · Fax (330) 480-4084
Phone(330) 480-2866
Fax(330) 480-4084
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 14, 2019
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1083188965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in OH · APRN.CNS.09308
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
452 BROADWAY AVE, Youngstown, OH 44504
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Other Identifiers 1

Medicaid0357364OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lorraine Coalmer Phd, Aprn-cns-bc, Cc 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 ID1456691799
PECOS Enrollment IDI20190322000783
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.

Medicare Billing Reassignment

Medicare enrollment records show Lorraine Coalmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians Youngstown Specialty Care LLC
0.2 mi
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1609544055 (330) 746-7211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services15 patients

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

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 4

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

KRISTIE ELIZABETH MILLER NP-C
Nurse Practitioner (Primary Care)
452 BROADWAY AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-2866
MS. MADELINE T SAVAGE LISW
Social Worker (Clinical)
452 BROADWAY AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-2866
MRS. KIMBERLY TRIVERI RDN, LD
Dietitian, Registered
452 BROADWAY AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-2866
DR. SHREEBATSA DHITAL M.D.
Internal Medicine
452 BROADWAY AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-2866

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 Lorraine Coalmer's NPI number?

The NPI number for Lorraine Coalmer is 1083188965. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Lorraine Coalmer located?

Lorraine Coalmer practices at 452 Broadway Ave, Youngstown, OH 44504. The listed phone number is (330) 480-2866.

What is Lorraine Coalmer's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Lorraine Coalmer enrolled in Medicare?

Yes. Lorraine Coalmer 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.

Which organization bills Medicare for Lorraine Coalmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorraine Coalmer reassigns Medicare benefits to Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lorraine Coalmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorraine Coalmer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Lorraine Coalmer 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 Lorraine Coalmer affiliated with any hospitals?

According to CMS data, Lorraine Coalmer is affiliated with St Elizabeth Youngstown Hospital and Mh St Joseph Warren Hospital.

When was this NPI record last updated?

The NPPES record for Lorraine Coalmer was last updated on October 10, 2024. 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.