Chisom Mirabel Mbachu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0032659 Issued in OH

Practice address

6930 Treeline Dr
Brecksville, OH 44141-3371

Phone

(312) 761-3057

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Positive Home Health LLC

  • In Home Supportive Care Agency
  • Parma, OH
  • NPI 1356178313
  NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1316649379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 ALBER AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293331",
            "telephone_number": "440-482-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 TREELINE DR",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413371",
            "telephone_number": "312-761-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBACHU",
        "first_name": "CHISOM",
        "middle_name": "MIRABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0032659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Elliott Maurer, RPH
• Carrie Mayer, M.S., CCC-SLP
• Karyn Michele Mayer
• Martha S. Mazak, R.PH.
• Bonnie J Mazzaro, RN, BSN
• Cheryl McCabe, L.P.C.
• Sherie Marie McCaffrey, LISW
• Nora McClaren, RPH
• Jaclyn McClymont, MA SLP
• Jacqueline McCue, BSN,RN

• Family Nurse Practitioner in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.