Individual provider Active NPI

Carrie Bottiggi, CNP

  • Women's Health Nurse Practitioner
  • Mayfield Heights, OH
National Provider Identifier
1295961340
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
COA10693-NP Issued in OH
Practice address
5850 Landerbrook Dr Ste 210
Mayfield Heights, OH 44124-4071
Phone
(440) 646-2515
Fax
(216) 201-5370
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 10693 OH
Women's Health Nurse Practitioner 363LW0102X COA10693-NP OH Primary

Addresses

Primary practice location

5850 Landerbrook Dr Ste 210
Mayfield Heights, OH 44124-4071

Mailing address

5850 Landerbrook Dr Ste 210
Mayfield Heights, OH 44124-4071
Phone (440) 646-2515

Other practice location 1

11100 Euclid Ave
Suite 1200
Cleveland, OH 44106-1716
Phone (216) 844-3941

Other identifiers 1

IdentifierTypeStateIssuer
2985239MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address carriebottiggi@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address carriebottiggi@uhps.allscriptsdirect.net Health Information Exchange (HIE)

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
I20111018000234 OH Practitioner - Nurse Practitioner 1658543657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

5850 Landerbrook Dr
Mayfield HTS, OH 44124-6531
Phone (440) 720-3250

870 W Main St
Geneva, OH 44041-1219
Phone (216) 286-6242

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Lake Health Hospital, Concord, OH, CCN 360098
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

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

State licenses

LicenseStateTypeSpecialty
10693OHMDWomen's Health Nurse Practitioner
COA10693-NPOHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Ste 1200
Cleveland, OH 44106
Phone (216) 844-3080

11100 Euclid Ave
Cleveland Heights, OH 44106

7580 Auburn Rd
Ste 313
Concord Township, OH 44077
Phone (440) 330-8649

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

890 W Main St
Ste 202
Geneva, OH 44041
Phone (440) 285-5004

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

5850 Landerbrook Dr
Ste 210
Mayfield Hts, OH 44124
Phone (440) 646-2517

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

Interoperability endpoints

  • Direct secure messaging: cbottiggi27956@ehrdirect.uhhospitals.org

Organizations & group practices 3

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 6

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1295961340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 LANDERBROOK DR STE 210",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244071",
            "telephone_number": "440-646-2515",
            "fax_number": "216-201-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 LANDERBROOK DR STE 210",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244071",
            "telephone_number": "440-646-2515",
            "fax_number": "216-201-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_2": "Suite 1200",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-3941",
            "fax_number": "216-844-8619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTIGGI",
        "first_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "10693",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA10693-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2985239",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carriebottiggi@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5850 Landerbrook Dr Ste 210",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carriebottiggi@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5850 Landerbrook Dr Ste 210",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.