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GENEVRA ADDIS MD
NPI 1417489071
Pediatrics in Sandusky, OH

Active since March 31, 2017PECOS Enrolled
1111 HAYES AVE, SANDUSKY, OH 44870(419) 557-7076 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2020, Jun 5, 2017, Mar 31, 2017 (3 updates tracked since 2017).

About Genevra Addis Md NPPES

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

GENEVRA ADDIS MD (NPI 1417489071) is an individual pediatrics provider in Sandusky, Ohio, licensed in Ohio (35.139537) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417489071
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGENEVRA ADDISCredential: MD
Location Address1111 HAYES AVESandusky, OH 44870-3323
Mailing Address1111 Hayes AveSandusky, OH 44870-3323
Phone(419) 557-7076
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateJune 30, 20203 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1417489071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.139537
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 35.139537 (OH)
1111 HAYES AVE, Sandusky, OH 44870
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genevra Addis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143590570
PECOS Enrollment IDI20250915001170
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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.

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.

LINDSAY DAMSCHRODER NP-C
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-6959
JACQUELINE BEKHIT M.D.
Hospitalist
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
LORI ANN KEEGAN FNP
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
ADRIAN PROTZMAN
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
RAHUL MABBU PRASAD MD
Hospitalist
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7400
DR. MELINA FRANCES ALEXANDER DO
Emergency Medicine
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7455
LAURA J OBERGEFELL N.P.-C
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-6363
STEPHANIE BOOS
Physical Therapist
1111 HAYES AVE
SANDUSKY, OH 44870
Erie County (419) 557-7438

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 Genevra Addis's NPI number?

The NPI number for Genevra Addis is 1417489071. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Genevra Addis located?

Genevra Addis practices at 1111 Hayes Ave, Sandusky, OH 44870. The listed phone number is (419) 557-7076.

What is Genevra Addis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Genevra Addis enrolled in Medicare?

Yes. Genevra Addis is registered in the Medicare PECOS enrollment system.

What insurance does Genevra Addis accept?

Health plans from CareSource list Genevra Addis 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 Genevra Addis was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.