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LORRAINE T CRESANTO CRNP
NPI 1487770962
Nurse Practitioner in Salem, OH

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
84.67/100
CMS Quality Rating
2094 E STATE ST STE B, SALEM, OH 44460(330) 337-8709(330) 337-9019 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Nov 30, 2022, Nov 8, 2021 (3 updates tracked since 2021).

About Lorraine T Cresanto Crnp NPPES

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

LORRAINE T CRESANTO CRNP (NPI 1487770962) is an individual nurse practitioner in Salem, Ohio, licensed in Ohio (NP08527) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Salem Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487770962
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORRAINE T CRESANTOCredential: CRNP
Location Address2094 E STATE ST STE BSalem, OH 44460-4409
Mailing Address2094 E State St Ste BSalem, OH 44460-4409 · (330) 337-8709 · Fax (330) 337-9019
Phone(330) 337-8709
Fax(330) 337-9019
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 22, 2007
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1487770962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · NP08527
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2094 E STATE ST STE B, Salem, OH 44460
Open in Google Maps ↗

Other Identifiers 2

Medicaid2790994OH
OtherNP08527OH · State License

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lorraine T Cresanto Crnp 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 ID244338978
PECOS Enrollment IDI20070605000005
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 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.

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.
232 services193 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
48 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services39 patients

Hospital Affiliations CMS Care Compare

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

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44460 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.

84.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.66
Promoting Interoperability100
Improvement Activities40
Cost79.25

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%97 patients
Breast Cancer Screening
29%545 patients2/55-star benchmark: 93%
Cervical Cancer Screening
5%264 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%183 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
57%985 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
76%325 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
4%181 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%181 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%1,979 patients4/55-star benchmark: 100%
e-Prescribing
92%346 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
44%828 patients2/55-star benchmark: 100%
HIV Screening
6%694 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%1,300 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,025 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%1,451 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 337 patients
Patients screened: 100% · 337 patients
27%78 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%474 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%460 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 873 patients
Patients totalRate: 9% · 873 patients
9%873 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MICHAEL EDWARD MADISON MD
Surgery
2094 E STATE ST STE B
SALEM, OH 44460
Columbiana County (330) 337-8709
WILLIAM Z KOLOZSI MD
Internal Medicine (Gastroenterology)
2094 E STATE ST STE B
SALEM, OH 44460
Columbiana County (330) 337-8709

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 Cresanto's NPI number?

The NPI number for Lorraine Cresanto is 1487770962. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Lorraine Cresanto located?

Lorraine Cresanto practices at 2094 E State St Ste B, Salem, OH 44460. The listed phone number is (330) 337-8709.

What is Lorraine Cresanto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lorraine Cresanto enrolled in Medicare?

Yes. Lorraine Cresanto 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 Lorraine Cresanto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Lorraine Cresanto 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 Cresanto affiliated with any hospitals?

According to CMS data, Lorraine Cresanto is affiliated with Salem Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lorraine Cresanto was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.