Individual provider Active NPI

Cynthia S Mackey, CNP

  • Adult Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1366784233
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP14407 Issued in OH
Practice address
23250 Chagrin Blvd Ste 450
Beachwood, OH 44122-5419
Phone
(216) 312-4687
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP14407 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd Ste 450
Beachwood, OH 44122-5419

Mailing address

23250 Chagrin Blvd Ste 450
Beachwood, OH 44122-5419
Phone (216) 312-4687

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
I20130524000437 OH Practitioner - Nurse Practitioner 0749428183 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Virtues Long Term Care CurrentSince Aug 16, 2025 Accepting new patients
Panorama Healthcare LLC CurrentSince Mar 13, 2024 Accepting new patients
Yatish Goyal MD Inc CurrentSince Oct 1, 2018 Accepting new patients
Hospital Care Group, P.C. PastSince Apr 23, 2023 Accepting new patients
Neurology and Neuroscience Associates, Inc. Past Accepting new patients

Locations

970 E Washington St
Ste 4D
Medina, OH 44256
Phone (330) 253-9727

1414 S Green Rd
Ste 206
South Euclid, OH 44121
Phone (216) 258-3814

Organizations & group practices 5

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1366784233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225419",
            "telephone_number": "216-312-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225419",
            "telephone_number": "216-312-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP14407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.