Active NPI
Mary Payne, NP
- Nurse Practitioner
- Loveland, OH
National Provider Identifier
1164591244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP06865
- Practice address
- 670 Winding Woods Dr
Loveland, OH 45140-9170 - Phone
- (513) 478-5300
- Fax
- (513) 785-0667
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP06865 | OH | Primary |
Addresses
Primary practice location
670 Winding Woods Dr
Loveland, OH 45140-9170
Mailing address
670 Winding Woods Dr
Loveland, OH 45140-9170
Phone (513) 697-1596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000337693 | Other | OH | ANTHEM |
| 2464542 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11100 Springfield Pike
Cincinnati, OH 45246-4112
Phone (513) 782-2717
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.57 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP06865 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Specialists of Ohio LLC | Nurse Practitioner | Current | Accepting new patients |
| Gianfranco Valle, MD, Inc | Past | Accepting new patients | |
| Skilled Care Pharmacy,LLC | Past | Accepting new patients |
Locations
11100 Springfield Pike
Springdale, OH 45246
Phone (513) 782-2400
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Loveland, OH
- NPI 1396938346
-
- Geriatric Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1942478201
-
- Durable Medical Equipment & Medical Supplies
- Mason, OH
- NPI 1437324522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1164591244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 WINDING WOODS DR",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451409170",
"telephone_number": "513-697-1596",
"fax_number": "513-697-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 WINDING WOODS DR",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451409170",
"telephone_number": "513-478-5300",
"fax_number": "513-785-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP06865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000337693",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2464542",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.