Individual provider Active NPI

Mary Payne, NP

  • Nurse Practitioner
  • Loveland, OH
National Provider Identifier
1164591244
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP06865 Issued in OH
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

Updated by the provider on Sep 13, 2013

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 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

IdentifierTypeStateIssuer
000000337693OtherOHANTHEM
2464542MedicaidOH

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
I20040524000367 OH Practitioner - Nurse Practitioner 0648261529 Reassigns benefits to 1 organization

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 100Reported as individual
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

LicenseStateTypeSpecialty
NP06865OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Specialists of Ohio LLC Nurse Practitioner CurrentSince Apr 1, 2004 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.

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

Verify at the official NPI Registry.