INDEPENDENCE VISITING PRIMARY CARE
NPI 1245614536
Nurse Practitioner - Family in Girard, OH

Active since July 16, 2015CLIA Certified · 3 labs
986 TIBBETTS WICK RD, GIRARD, OH 44420(330) 306-9651(330) 395-0133 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2022, Jul 21, 2022, Feb 18, 2021 and 2 more (5 updates tracked since 2015).

About Independence Visiting Primary Care NPPES

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

INDEPENDENCE VISITING PRIMARY CARE (NPI 1245614536) is a healthcare organization registered as a family in Girard, Ohio and active in the NPI registry since July 2015. The organization holds 3 active CLIA laboratory certificates and lists Gregory Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1245614536
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePATRIOT HOUSECALL, INC
Location Address986 TIBBETTS WICK RDGirard, OH 44420-1120
Mailing Address986 Tibbetts Wick RdGirard, OH 44420-1138 · (330) 980-9009 · Fax (330) 395-0133
Fax(330) 395-0133
Organization SubpartNo
Authorized OfficialGregory DavisOwner · (330) 306-9651
Enumeration DateJuly 16, 2015
Last NPPES UpdateAugust 5, 20225 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1245614536 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
986 TIBBETTS WICK RD, Girard, OH 44420

Other Names 1

Doing Business AsIndependence Visiting Primary Care

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Independence Visiting Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Independence Visiting Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1326004201
4531 BELMONT AVE SUITE 6
Youngstown, OH 44505
(330) 759-5010
✔ PECOS2.2 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1851716583
715 E WESTERN RESERVE RD FL 2
Poland, OH 44514
(330) 965-8157
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1093222994
21 E STATE ST
Columbus, OH 43215
(574) 546-1900
✔ PECOS✔ Accepts Medicare148 mi
Family Practice
NPI 1932726395
501 GREAT CIRCLE RD FL 3
Nashville, TN 37228
(615) 436-9060
✔ PECOS477 mi

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

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2115311

Patriot Housecall, Inc Dba Independence Visiting Primary Care · Girard, OH
Active · expires Jul 4, 2028
CLIA Number36D2115311
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorJacqueline N. Koch
Laboratory Phone(330) 980-9009
Laboratory LocationPatriot Housecall, Inc Dba Independence Visiting Primary Care986 Tibbetts Wick Rd, Girard, OH 44420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2244630

Patriot Hospice Inc · Girard, OH
Active · expires Dec 2, 2027
CLIA Number36D2244630
Laboratory TypeHospice
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorKenn Lapushan
Laboratory Phone(330) 306-9651
Laboratory LocationPatriot Hospice Inc986 Tibbetts Wick Rd Ste #2, Girard, OH 44420
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2024015

Patriot Homecare Inc · Girard, OH
Active · expires May 5, 2027
CLIA Number36D2024015
Laboratory TypeHome Health Agency
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorSean D. Davis
Laboratory Phone(330) 306-9651
Laboratory LocationPatriot Homecare Inc986 Tibbetts Wick Rd, Girard, OH 44420
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Patriot Housecall, Inc's NPI number?

The NPI number for Patriot Housecall, Inc is 1245614536. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Independence Visiting Primary Care.

Where is Patriot Housecall, Inc located?

Patriot Housecall, Inc is located at 986 Tibbetts Wick Rd, Girard, OH 44420. The listed phone number is (330) 306-9651.

What is Patriot Housecall, Inc's specialty?

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

Is Patriot Housecall, Inc enrolled in Medicare?

Yes. Patriot Housecall, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patriot Housecall, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Patriot Housecall, Inc, in Certified Clinical Nurse Specialist (CNS), Family Practice, Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Patriot Housecall, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Patriot Housecall, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Patriot Housecall, Inc 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.

When was this NPI record last updated?

The NPPES record for Patriot Housecall, Inc was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.