Renee Lynn McManus, DNP PMHNP-BC ACNS-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · North Lima, OH
NPI 1265789796 · NPPES record last updated Jun 1, 2023
Key facts
- NPI
- 1265789796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0029986 (OH)
- Practice address
- 11369 Market St
North Lima, OH 44452-9782 - Phone
- (330) 965-9999
- Fax
- (234) 759-3971
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Serenity Center of Youngstown LLC
Practice addresses (Care Compare)
11369 Market St
North Lima, OH 44452-9782
Phone (330) 965-9999
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220829002339 | OH | Practitioner - Certified Clinical Nurse Specialist (CNS) | 0547411993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0029986 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Center of Youngstown, LLC | Current |
Accepting new patients |
Locations
11369 Market St
North Lima, OH 44452
Phone (330) 965-9999
1947 E Market St
Warren, OH 44483
Phone (330) 965-9999
8440 Market St
Youngstown, OH 44512
Phone (330) 533-8888
3657 Mahoning Ave
Youngstown, OH 44515
Phone (330) 965-9999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | COA.09915-NS | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0029986 | OH | Yes |
Addresses
Primary practice location
11369 Market St
North Lima, OH 44452-9782
Mailing address
3888 Nelson Mosier Rd
Leavittsburg, OH 44430-9424
Phone (330) 509-5099
Other practice location 1
3657 Mahoning Ave
Youngstown, OH 44515-3018
Phone (330) 965-9999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77180 | Medicaid | OH |
Other names
- Renee Lynn Tidd
Other providers in North Lima, OH
- Lifefleet LLC
- Roseann Marie Marino
- Market Street Assisted Living
- Carly McAtee
- David W McDonald
- Mercy Health Physicians Youngstown LLC
- Mercy Health Physicians Youngstown Specialty Care LLC
- Armand Louis Minotti
- Timothy W Moore
- Mark Nemenz
All providers in North Lima, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.