Individual provider Active NPI

Laura Susan Wheaton, CNP

  • Family Nurse Practitioner
  • Rocky River, OH
National Provider Identifier
1306249768
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.16600-NP Issued in OH
Practice address
19133 Hilliard Blvd
Rocky River, OH 44116-2907
Phone
(216) 228-5500
Fax
(216) 227-2628
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.350758-COA1 OH
Family Nurse Practitioner 363LF0000X COA.16600-NP OH Primary

Addresses

Primary practice location

19133 Hilliard Blvd
Rocky River, OH 44116-2907

Mailing address

20455 Lorain Rd
Ste T01
Fairview Park, OH 44126-3494
Phone (440) 799-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, MS, GA, AL, VA, SC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20141107000696 OH Practitioner - Nurse Practitioner 6709008766
I20251104003181 MI Practitioner - Nurse Practitioner 6709008766 Reassigns benefits to 1 organization
I20251113002308 MS Practitioner - Nurse Practitioner 6709008766 Reassigns benefits to 1 organization
I20251116000065 GA Practitioner - Nurse Practitioner 6709008766 Reassigns benefits to 1 organization
I20251117000132 AL Practitioner - Nurse Practitioner 6709008766 Reassigns benefits to 1 organization
I20251208002538 VA Practitioner - Nurse Practitioner 6709008766 Reassigns benefits to 1 organization
I20260112000550 SC Practitioner - Nurse Practitioner 6709008766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monogram Health Professional Services PCGroup PAC ID 4880004183, shared by 7 NPIs, 27 clinicians

Practice addresses (Care Compare)

Richmond, VA 23219
Phone (855) 212-2273

Greenville, SC 29607
Phone (855) 212-2273

Grand Rapids, MI 49503
Phone (615) 673-4455

2700 Corporate Dr
Suite 200
Birmingham, AL 35242-2733
Phone (855) 212-2273

3350 Riverwood Pkwy SE
Suite 1900
Atlanta, GA 30339-2066
Phone (615) 673-4455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.350758-COA1OHMDRegistered Nurse
29927SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Sep 25, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Sep 25, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Sep 16, 2025 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20074/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.wheaton.1@22854.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1306249768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "STE T01",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-799-4224",
            "fax_number": "440-799-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19133 HILLIARD BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162907",
            "telephone_number": "216-228-5500",
            "fax_number": "216-227-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "LAURA",
        "middle_name": "SUSAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.350758-COA1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16600-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.