Individual provider Active NPI

Stephanie McGinty Wallingford, CNP

  • Family Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1093427379
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032840 Issued in OH
Practice address
6005 Som Center Rd
Willoughby, OH 44094-9646
Phone
(440) 946-7252
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0032840 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0032840 OH Primary

Addresses

Primary practice location

6005 Som Center Rd
Willoughby, OH 44094-9646

Mailing address

3335 Azalea Ridge Dr
Perry, OH 44081-9223
Phone (440) 488-7643

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230207002415 OH Practitioner - Nurse Practitioner 2567834229 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

6900 Ctr St
Mentor, OH 44060-4245
Phone (440) 385-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032840OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince Mar 11, 2024 Accepting new patients
Harmony Family Medicine LLC CurrentSince Aug 26, 2025 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Mar 11, 2024 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 1, 2022 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 1, 2022 Accepting new patients
Eastside ENT Specialists, Inc PastSince Dec 1, 2022 Accepting new patients
Eastside Hearing Aid Center, LLC PastSince Dec 1, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

6900 Center St
Mentor, OH 44060
Phone (440) 385-0010

1400 W Pleasant Valley Rd
Parma, OH 44134
Phone (440) 334-7173

6948 Tylersville Rd
West Chester, OH 45069
Phone (440) 596-9079

Interoperability endpoints

  • Direct secure messaging: swallingford593863@ehrdirect.uhhospitals.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1093427379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 AZALEA RIDGE DR",
            "city": "PERRY",
            "state": "OH",
            "postal_code": "440819223",
            "telephone_number": "440-488-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 SOM CENTER RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949646",
            "telephone_number": "440-946-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLINGFORD",
        "first_name": "STEPHANIE",
        "middle_name": "MCGINTY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0032840",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.