Genia Marie Fortune, APRN.CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN.CNP.022885 Issued in OH

Practice address

126 W McConkey St
Shreve, OH 44676-9301

Phone

(330) 789-1099

Fax

(330) 789-1109

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Surgical Wound Care IncGroup PAC ID 7416948153, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

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.

• Northeast Surgical Wound Care, Inc.

  • Surgery Physician
  • Independence, OH
  • NPI 1649215583
  Medicare reassignment Care Compare group NPD
• United Wound & Vascular Institute Ohio PLLC

  • Family Medicine Physician
  • Independence, OH
  • NPI 1477311959
  Medicare reassignment NPD
• Healing Partners Plus PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063217545

  OH

  Medicare reassignment NPD
• A M Health Center LLC

  • Chiropractor
  • Shreve, OH
  • NPI 1588006472
  NPD (past)
• Northeast Surgical Associates of Ohio Wound Speciality Services LTD

  • Nurse Practitioner
  • Independence, OH
  • NPI 1073767315
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1457845844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "SHREVE",
            "state": "OH",
            "postal_code": "446760526",
            "telephone_number": "330-789-1099",
            "fax_number": "330-789-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MCCONKEY ST",
            "city": "SHREVE",
            "state": "OH",
            "postal_code": "446769301",
            "telephone_number": "330-789-1099",
            "fax_number": "330-789-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "GENIA",
        "middle_name": "MARIE",
        "credential": "APRN.CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.022885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brogdon
• Carraway Integrative Wellness
• Adam Tyler Conley, D.C.
• Sarah Ann Custer
• Timothy James Foley, PHARMD
• Grace Johnson
• Fonda K Kandel
• Julie Marie Kelley, LPN
• Melissa Dawn Klingerman
• Teresa Ann Lewis

• Adult Health Nurse Practitioner in Shreve, OH
• Providers in Shreve, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.