Individual provider Active NPI

Andriy V Magura, RN, APRN-CNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parma, OH
National Provider Identifier
1437598893
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0038443 Issued in OH
Practice address
5522 Pearl Rd
Parma, OH 44129-2527
Phone
(440) 212-5862
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.355950 OH
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN.CNP.0038443 OH Primary

Addresses

Primary practice location

5522 Pearl Rd
Parma, OH 44129-2527

Mailing address

4527 Longwood Ave
Parma, OH 44134-3817
Phone (440) 212-5862

Other practice location 1

4527 Longwood Ave
Parma, OH 44134-3817
Phone (440) 212-5862

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
I20250407000883 OH Practitioner - Nurse Practitioner 1254855752 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.355950OHMDRegistered Nurse
APRN.CNP.0038443OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magura Psychiatry and Mental Health Services LLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Vma Home Health PastSince Jan 1, 2025 Accepting new patients

Locations

5522 Pearl Rd
Parma, OH 44129
Phone (440) 212-5862

Organizations & group practices 2

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1437598893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 LONGWOOD AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343817",
            "telephone_number": "440-212-5862",
            "fax_number": "440-325-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292527",
            "telephone_number": "440-212-5862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4527 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441343817",
            "country_code": "US",
            "telephone_number": "440-212-5862",
            "fax_number": "440-888-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGURA",
        "first_name": "ANDRIY",
        "middle_name": "V",
        "credential": "RN, APRN-CNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.355950",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.