Maryann Christine Matthews, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

021663 Issued in OH

Practice address

7350 Industrial Park Blvd
Mentor, OH 44060

Phone

(216) 732-9480

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1932386059
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1821101809
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1043738149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 INDUSTRIAL PARK BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605318",
            "telephone_number": "216-732-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 INDUSTRIAL PARK BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "216-732-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441342128",
            "country_code": "US",
            "telephone_number": "216-856-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 W Sprague Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441306300",
            "country_code": "US",
            "telephone_number": "440-826-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MARYANN",
        "middle_name": "CHRISTINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "021663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marway L.a.S., Inc.
• Alyssa Mathews
• Jahnae Alexis Matlock, LICDC
• Shannon Leigh Matsko, LPCC-S
• Carol Rose Matthews, APN, CNS
• Mari E Mattocks, NP
• Juliann Mauser
• Teresa Ann Mauser
• Despina V Mavrakis, HAS
• Maxim Healthcare Services, Inc.

• Primary Care Nurse Practitioner in Mentor, OH
• Providers in Mentor, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.