Individual provider Active NPI

Mary E Yursky, CNP

  • Gastroenterology Registered Nurse
  • North Ridgeville, OH
National Provider Identifier
1144246570
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology Registered NurseTaxonomy code 163WG0100X
License
RN229227 Issued in OH
Practice address
32800 Lorain Rd
North Ridgeville, OH 44039-3430
Phone
(440) 406-5500
Fax
(440) 406-5501
NPI assigned
Jul 15, 2006
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered Nurse 163WG0100X RN229227 OH Primary

Addresses

Primary practice location

32800 Lorain Rd
North Ridgeville, OH 44039-3430

Mailing address

32800 Lorain Rd Ste 2300
North Ridgeville, OH 44039-3430
Phone (440) 406-5500

Other practice location 1

960 Clague Rd
Westlake, OH 44145-1582
Phone (216) 250-2409

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-8500

Other identifiers 6

IdentifierTypeStateIssuer
2207801MedicaidOH
000000224430OtherUNISON
000000539713OtherANTHEM
364161OtherWELLCARE
7454595OtherAETNA
751193OtherBUCKEYE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maryyursky@uhps.allscriptsdirect.net

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
I20050518000999 OH Practitioner - Nurse Practitioner 2961443007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN229227OHMDGastroenterology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: myursky28118@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1144246570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32800 LORAIN RD STE 2300",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393430",
            "telephone_number": "440-406-5500",
            "fax_number": "440-406-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32800 LORAIN RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393430",
            "telephone_number": "440-406-5500",
            "fax_number": "440-406-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Clague Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451582",
            "country_code": "US",
            "telephone_number": "216-250-2409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YURSKY",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "OH",
            "license": "RN229227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207801",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000224430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000539713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "364161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7454595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "751193",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryyursky@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "32800 Lorain Rd",
            "city": "North Ridgeville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440393430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.