Individual provider Active NPI

Marypat Page, APRN, CNP

  • Adult Health Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1477061133
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP022190 Issued in OH
Practice address
30000 E River Rd
Perrysburg, OH 43551-3429
Phone
(419) 661-4001
Fax
(419) 661-4015
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP022190 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP022190 OH Primary

Addresses

Primary practice location

30000 E River Rd
Perrysburg, OH 43551-3429

Mailing address

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 661-4001

Other practice location 1

140 S River Rd
Waterville, OH 43566-1467
Phone (419) 878-8513

Other practice location 2

1325 Conference Dr
Toledo, OH 43614-8009
Phone (419) 931-3440

Other practice location 3

5320 Harroun Rd
Sylvania, OH 43560-2114
Phone (419) 824-7419

Other identifiers 1

IdentifierTypeStateIssuer
0261012MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180309000562 OH Practitioner - Nurse Practitioner 6800157728 Reassigns benefits to 2 organizations
I20190525000096 MI Practitioner - Nurse Practitioner 6800157728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of Northwest OhioGroup PAC ID 8527150721, 17 clinicians

Practice addresses (Care Compare)

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 661-5110

8132 Secor Rd
Lambertville, MI 48144-8673
Phone (419) 661-4001

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP022190OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC CurrentSince Oct 15, 2019 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Hospice of Northwest Ohio PastSince Sep 3, 2019 Accepting new patients

Locations

L4189
Columbus, OH 43260

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

Interoperability endpoints

  • Direct secure messaging: mpage39551@direct.utoledo.edu

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 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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1477061133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-661-4001",
            "fax_number": "419-878-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-661-4001",
            "fax_number": "419-661-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 S River Rd",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "OH",
            "postal_code": "435661467",
            "country_code": "US",
            "telephone_number": "419-878-8513",
            "fax_number": "419-878-8515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Conference Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436148009",
            "country_code": "US",
            "telephone_number": "419-931-3440",
            "fax_number": "419-661-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5320 Harroun Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602114",
            "country_code": "US",
            "telephone_number": "419-824-7419",
            "fax_number": "567-585-9461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MARYPAT",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP022190",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP022190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261012",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.