Individual provider Active NPI

Marisa Christine Terrigno, RN, CNP

  • Adult Health Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1205020062
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.09506 Issued in OH
Practice address
7255 Old Oak Blvd Ste C302
Middleburg Heights, OH 44130-3338
Phone
(440) 816-4394
NPI assigned
Sep 4, 2007
Last updated
Nov 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.09506 OH Primary

Addresses

Primary practice location

7255 Old Oak Blvd Ste C302
Middleburg Heights, OH 44130-3338

Mailing address

7255 Old Oak Blvd Ste C302
Middleburg Heights, OH 44130-3338
Phone (440) 816-4394

Other identifiers 2

IdentifierTypeStateIssuer
000000552243OtherANTHEM BLUE CROSS BLUE SHIELD
2851230MedicaidOH

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
I20080603000740 OH Practitioner - Nurse Practitioner 7719057652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Specialties IncGroup PAC ID 0749643278, 2 clinicians

Practice addresses (Care Compare)

7255 Old Oak Blvd
Suite 302
Cleveland, OH 44130-3329
Phone (440) 816-4394

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.09506OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Specialties Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

7255 Old Oak Blvd
Ste 302
Cleveland, OH 44130
Phone (216) 545-4006

7255 Old Oak Blvd
Ste C302
Middleburg Heights, OH 44130
Phone (440) 816-4394

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

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 1

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1205020062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD STE C302",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303338",
            "telephone_number": "440-816-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD STE C302",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303338",
            "telephone_number": "440-816-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRIGNO",
        "first_name": "MARISA",
        "middle_name": "CHRISTINE",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.09506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000552243",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2851230",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.