Individual provider Active NPI

Amy Rocco, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Medina, OH
National Provider Identifier
1316563463
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0026887 Issued in OH
Practice address
807 E Washington St
Medina, OH 44256-3338
Phone
(330) 935-7443
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0026887 OH Primary

Addresses

Primary practice location

807 E Washington St
Medina, OH 44256-3338

Mailing address

2948 Meadow LN
Westlake, OH 44145-4940
Phone (216) 375-1362

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contact@psych360.org

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
I20200702000623 OH Practitioner - Nurse Practitioner 8729401179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcove Ventures LLCGroup PAC ID 1456669605, 50 clinicians

Practice addresses (Care Compare)

3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746

Merit-based Incentive Payment System (MIPS)

Final score
98.06 of 100Reported as group
Quality
90.22
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

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

Organizations & group practices 1

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1316563463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 MEADOW LN",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454940",
            "telephone_number": "216-375-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563338",
            "telephone_number": "330-935-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCO",
        "first_name": "AMY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0026887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@psych360.org",
            "affiliation": "N",
            "address_1": "807 E Washington St",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442563338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.