Active NPI
Katherine Mormile
- Gerontology Nurse Practitioner
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.026087
- Practice address
- 8316 Yellowbrick Rd
Mentor, OH 44060-4960 - Phone
- (440) 205-8818
- Fax
- (440) 974-1794
- NPI assigned
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.026087 | OH | Primary |
Addresses
Primary practice location
8316 Yellowbrick Rd
Mentor, OH 44060-4960
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.026087 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Northern Ohio Medical Specialists LLC | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Locations
8316 Yellowbrick Rd
Mentor, OH 44060
Phone (216) 342-2190
9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
Interoperability endpoints
- kmormile29245@nomshealthcare.direct-ci.com
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1225085855
-
- Durable Medical Equipment & Medical Supplies
- Lorain, OH
- NPI 1952281511
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1306485859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448710378",
"telephone_number": "419-609-1112",
"fax_number": "419-609-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 YELLOWBRICK RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604960",
"telephone_number": "440-205-8818",
"fax_number": "440-974-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORMILE",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.026087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.