Tina McNall-Elam, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-07742 Issued in OH

Practice address

231 Springside Dr
Suite 204
Akron, OH 44333-4530

Phone

(330) 666-9544

Fax

(330) 670-8569

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stafford Services, Inc.Group PAC ID 4486678901, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.34 of 100Reported as group

Quality

63.79

Promoting interoperability

0

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stafford Services, Inc.

  • Family Nurse Practitioner
  • Parma, OH
  • NPI 1679542021
  Medicare reassignment Care Compare group NPD
• Geriatric Nurse Practitioners, Inc.

  • Nurse Practitioner
  • Akron, OH
  • NPI 1427008200
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1306880893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SPRINGSIDE DR",
            "address_2": "SUITE 204",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334530",
            "telephone_number": "330-666-9544",
            "fax_number": "330-670-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SPRINGSIDE DR",
            "address_2": "SUITE 204",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334530",
            "telephone_number": "330-666-9544",
            "fax_number": "330-670-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALL-ELAM",
        "first_name": "TINA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-07742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "P00142601",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000342108",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2553786",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd R McMillen, M.D.
• Mary Jo McMullen, MD
• Matthew Russell McMullen, PHARMD
• Nicole R McMullen, PHARMD
• Alysen McNabb
• Dana L McNeal
• Brian J McNeeley
• Morgan McNeeley, RBT
• Jasmine Nyree McNeil
• Lois N McNeil

• Nurse Practitioner in Akron, OH
• Providers in Akron, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.

Verify at the official NPI Registry.