Individual provider Active NPI

Susan Mayne, NP

  • Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1114474368
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-019559 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-8200
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP-019559 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

2820 W Market St FL 2
Fairlawn, OH 44333-4043
Phone (216) 514-8260

Other practice location 1

870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141

Other practice location 2

2820 W Market St
Fairlawn, OH 44333-4043
Phone (216) 514-8260

Other practice location 3

4065 Center Rd
Brunswick, OH 44212-2918
Phone (216) 844-8200

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address smayne@uhhospitals.encite.com
Direct Messaging Address smayne@uhhospitals.encitedirect.com
Direct Messaging Address smayne@uhhospitals.encitedirect.com

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
I20161027002503 OH Practitioner - Nurse Practitioner 7810275732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

870 W Main St
Geneva, OH 44041-1219
Phone (216) 286-6242

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Sep 1, 2016 Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

2820 W Market St
Ste 210
Fairlawn, OH 44333
Phone (440) 848-3567

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

890 W Main St
Ste 202
Geneva, OH 44041
Phone (440) 285-5004

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

Interoperability endpoints

  • Direct secure messaging: smayne41472@ehrdirect.uhhospitals.org

Organizations & group practices 2

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1114474368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W MARKET ST FL 2",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334043",
            "telephone_number": "216-514-8260",
            "fax_number": "216-514-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 W Main St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "OH",
            "postal_code": "440411219",
            "country_code": "US",
            "telephone_number": "440-466-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 W Market St",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443334043",
            "country_code": "US",
            "telephone_number": "216-514-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4065 Center Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442122918",
            "country_code": "US",
            "telephone_number": "216-844-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNE",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "CNP-019559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smayne@uhhospitals.encite.com",
            "affiliation": "N",
            "address_1": "4065 Center Rd",
            "city": "Brunswick",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442122918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smayne@uhhospitals.encitedirect.com",
            "affiliation": "N",
            "address_1": "2820 W Market St",
            "city": "Fairlawn",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443334043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smayne@uhhospitals.encitedirect.com",
            "affiliation": "N",
            "address_1": "4065 Center Rd",
            "city": "Brunswick",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442122918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.