Individual provider Active NPI

Mary R Painter-Romanello, NP

  • Adult Health Nurse Practitioner
  • Solon, OH
National Provider Identifier
1285957944
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA 03556-NP Issued in OH
Practice address
30575 Bainbridge Rd Ste 300
Solon, OH 44139-2275
Phone
(440) 368-6868
Fax
(440) 368-6866
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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 03556-NP OH Primary

Addresses

Primary practice location

30575 Bainbridge Rd Ste 300
Solon, OH 44139-2275

Mailing address

30575 Bainbridge Rd Ste 300
Solon, OH 44139-2275
Phone (440) 368-6868

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
I20100601000123 OH Practitioner - Nurse Practitioner 4082743026 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 03556-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Medical Practices, LLC CurrentSince Feb 19, 2017 Accepting new patients
Midwest Hospitalists, Inc PastSince Aug 15, 2015 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 200
Louisville, KY 40222

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

4401 Rockside Rd
Ste 214
Independence, OH 44131
Phone (216) 642-1297

30575 Bainbridge Rd
Ste 300
Solon, OH 44139
Phone (216) 800-7137

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.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1285957944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD STE 300",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392275",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD STE 300",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392275",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER-ROMANELLO",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 03556-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.