Individual provider Active NPI

Christine Marcin, NP

  • Family Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1255978938
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025931 Issued in OH
Practice address
16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300
Phone
(440) 826-0500
Fax
(440) 826-0501
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.025931 OH Primary

Addresses

Primary practice location

16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 434-6169

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL na

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
I20200819002481 OH Practitioner - Nurse Practitioner 7012333156 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jun 15, 2023 Accepting new patients
Vpa PC CurrentSince Oct 1, 2023 Accepting new patients
Vpa PC CurrentSince Jun 15, 2023 Accepting new patients
Vpa PC Current Accepting new patients

Locations

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130
Phone (440) 826-0500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1255978938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 120",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306300",
            "telephone_number": "440-826-0500",
            "fax_number": "440-826-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIN",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "9500 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.