Individual provider Active NPI

Valerie A Mumaw, MSN CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lima, OH
National Provider Identifier
1386830032
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ANPCNP09591 Issued in OH
Practice address
770 W High St Ste 300
Lima, OH 45801-5914
Phone
(419) 996-5033
Fax
(419) 996-5266
NPI assigned
Sep 17, 2007
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ANPCNP09591 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ANPCNP09591 OH Primary

Addresses

Primary practice location

770 W High St Ste 300
Lima, OH 45801-5914

Mailing address

770 W High St Ste 300
Lima, OH 45801-5914
Phone (419) 996-5033

Other identifiers 3

IdentifierTypeStateIssuer
3014802MedicaidOH
COA-09591NPOtherOHNP
RN-314124-COA-1OtherOHRN

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
I20090812000030 OH Practitioner - Nurse Practitioner 6507910403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 300
Lima, OH 45801-5914
Phone (419) 996-5033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ANPCNP09591OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Primecare Physicians of West Central Ohio, Inc Past Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients

Locations

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

770 W High St
Ste 300
Lima, OH 45801
Phone (419) 228-0570

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

Interoperability endpoints

  • Direct secure messaging: vmumaw58080@direct.bsmhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1386830032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015914",
            "telephone_number": "419-996-5033",
            "fax_number": "419-996-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015914",
            "telephone_number": "419-996-5033",
            "fax_number": "419-996-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMAW",
        "first_name": "VALERIE",
        "middle_name": "A",
        "credential": "MSN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "ANPCNP09591",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "ANPCNP09591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014802",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "COA-09591NP",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN-314124-COA-1",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.