THERESA SANDERBECK-BARONE CNP
NPI 1083669154
Nurse Practitioner - Adult Health in Youngstown, OH

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512(330) 758-7575(330) 758-1833 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Sanderbeck-barone Cnp NPPES

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

THERESA SANDERBECK-BARONE CNP (NPI 1083669154) is an individual adult health provider in Youngstown, Ohio, licensed in Ohio (NP05924) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Surgical Hospital At Southwoods, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083669154
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHERESA SANDERBECK-BARONECredential: CNP
Location Address925 TRAILWOOD DRYoungstown, OH 44512-5008
Mailing Address925 Trailwood DrYoungstown, OH 44512-5008 · (330) 758-7575 · Fax (330) 758-1833
Fax(330) 758-1833
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 24, 2006
Last NPPES UpdateSeptember 14, 2010
NPI 1083669154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · NP05924
925 TRAILWOOD DR, Youngstown, OH 44512

Other Identifiers 2

Medicare ID-Type UnspecifiedSANP09612OH
Medicaid2282220OH

Accepted 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

Theresa Sanderbeck-barone Cnp 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 ID5193728616
PECOS Enrollment IDI20060822000497
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.

Areas of Expertise CMS Part B claims 2

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.

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.
127 services112 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.
89 services81 patients

Hospital Affiliations CMS Care Compare

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

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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 11

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

Internal Medicine (Critical Care Medicine)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Internal Medicine (Pulmonary Disease)
925 TRAILWOOD DR, BOX 14130
YOUNGSTOWN, OH 44512
Internal Medicine (Critical Care Medicine)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Nurse Practitioner (Adult Health)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Internal Medicine (Pulmonary Disease)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Nurse Practitioner
925 TRAILWOOD DR
BOARDMAN, OH 44512
Nurse Practitioner (Family)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Internal Medicine (Pulmonary Disease)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512

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 Theresa Sanderbeck-barone's NPI number?

The NPI number for Theresa Sanderbeck-barone is 1083669154. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Theresa Sanderbeck-barone located?

Theresa Sanderbeck-barone practices at 925 Trailwood Dr, Youngstown, OH 44512. The listed phone number is (330) 758-7575.

What is Theresa Sanderbeck-barone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theresa Sanderbeck-barone enrolled in Medicare?

Yes. Theresa Sanderbeck-barone 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 Theresa Sanderbeck-barone 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 Theresa Sanderbeck-barone 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 Theresa Sanderbeck-barone affiliated with any hospitals?

According to CMS data, Theresa Sanderbeck-barone is affiliated with Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Theresa Sanderbeck-barone was last updated on September 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.