Matthew Aaron Clingman, MSN, RN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Willard, OH
NPI 1346607306 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1346607306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.18622 (OH)
- Practice address
- 1100 Neal Zick Rd
Willard, OH 44890-9287 - Phone
- (419) 993-2811
- Fax
- (419) 933-4502
- NPI assigned
- Jan 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians-North LLC
Practice addresses (Care Compare)
1100 Neal Zick Rd
Willard, OH 44890-9287
Phone (419) 964-5080
Hospital & facility affiliations
- Mercy Health - Tiffin Hospital
- Mercy Health - Willard Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160512002208 | OH | Practitioner - Nurse Practitioner | 3678862703 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current |
Accepting new patients | |
| Emergency Professional Services, Inc. | Family | Current |
Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians-North LLC | Current |
Accepting new patients | |
| Community and Rural Health Services | Past |
Accepting new patients | |
| Mercy Health System Northern | Past | Accepting new patients |
Locations
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
27 St Lawrence Dr
Ste 103
Tiffin, OH 44883
Phone (419) 448-4622
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 933-2811
Interoperability endpoints
- mclingman236802@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.18622 | OH | Yes |
Addresses
Primary practice location
1100 Neal Zick Rd
Willard, OH 44890-9287
Mailing address
2200 Jefferson Ave
5TH FL
Toledo, OH 43604-7101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162568 | Medicaid | OH |
Other providers in Willard, OH
- City of Blossoms Inpatient Services LLC
- City of Willard
- Cleveland Medical Management LLC
- Cleveland Medical Management LLC
- Nicole Rene Cline
- Kyle Conley
- Ronda Jean Conti
- Kimberly Crisp
- Desiree Cummings
- Melodie Marie Cyrus
All providers in Willard, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.