Individual provider Active NPI

Maryjo Arelene Arehart, NP-C

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1477027688
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023933 Issued in OH
Practice address
4235 Secor Rd
Toledo, OH 43623-4231
Phone
(419) 473-3961
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 023933 OH Primary

Addresses

Primary practice location

4235 Secor Rd
Toledo, OH 43623-4231

Mailing address

5418 Morrow Rd
Toledo, OH 43615-3526
Phone (419) 346-3921

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
I20190611000332 OH Practitioner - Nurse Practitioner 5294068086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kingston Care Partners, LLCGroup PAC ID 1850589102, 11 clinicians

Practice addresses (Care Compare)

345 E Boundary St
Perrysburg, OH 43551-2760
Phone (419) 873-6100

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Kingston Health Center of Perrysburg Nursing home, Perrysburg, OH, CCN 366409

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023933OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Care Partners, LLC CurrentSince Sep 29, 2021 Accepting new patients

Locations

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

345 E Boundary St
Perrysburg, OH 43551
Phone (419) 535-6152

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

4210 Telegraph Ln
Vermilion, OH 44089
Phone (440) 276-6577

6010 W Lake Rd
Vermilion, OH 44089
Phone (440) 282-1312

Organizations & group practices 3

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.

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1477027688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 MORROW RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153526",
            "telephone_number": "419-346-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-473-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREHART",
        "first_name": "MARYJO",
        "middle_name": "ARELENE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.