Individual provider Active NPI

Maggie Kristine Marcin, C.N.P.

  • Primary Care Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1184979965
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.13501 Issued in OH
Practice address
3800 Embassy Pkwy Ste 240
Fairlawn, OH 44333-8398
Phone
(216) 286-6373
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X APRN.CNP.13501 OH Primary

Addresses

Primary practice location

3800 Embassy Pkwy Ste 240
Fairlawn, OH 44333-8398

Mailing address

3800 Embassy Pkwy Ste 240
Fairlawn, OH 44333-8398
Phone (330) 665-4430

Other names 1

  • Ms. Maggie Kristine Panik Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maggiemarcin@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
I20120815000489 OH Practitioner - Nurse Practitioner 8426204942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
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

29000 Ctr Ridge Rd
Westlake, OH 44145-5219
Phone (440) 250-8660

29325 Health Campus Dr
Suite 1
Westlake, OH 44145-8201
Phone (216) 368-7967

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

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

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
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Single Specialty CurrentSince Jan 17, 2024 Accepting new patients
Multicare Health System Single Specialty Past Accepting new patients

Locations

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

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

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

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Interoperability endpoints

  • Direct secure messaging: mmarcin28166@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.

Hospital & facility affiliations 8

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184979965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 EMBASSY PKWY STE 240",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443338398",
            "telephone_number": "330-665-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 EMBASSY PKWY STE 240",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443338398",
            "telephone_number": "216-286-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIN",
        "first_name": "MAGGIE",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.13501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maggiemarcin@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3800 Embassy Pkwy Ste 240",
            "city": "Fairlawn",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443338398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "PANIK",
            "middle_name": "KRISTINE",
            "prefix": "MS.",
            "credential": "C.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.