Individual provider Active NPI

Mable Brown

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1538547666
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17271 Issued in OH
Practice address
16888 Harvard Ave
Cleveland, OH 44128
Phone
(216) 810-7159
Fax
(216) 920-6286
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 17271 OH Primary

Addresses

Primary practice location

16888 Harvard Ave
Cleveland, OH 44128

Mailing address

PO Box 746071
Atlanta, GA 30374-6071
Phone (312) 733-9730

Other practice location 1

1404 E 2nd St
Defiance, OH 43512-2440
Phone (260) 344-4035

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
I20160620001761 OH Practitioner - Nurse Practitioner 6204127459 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

16888 Harvard Ave
Cleveland, OH 44128-2208
Phone (216) 303-6819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17271OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince May 10, 2018 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Nov 1, 2016 Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Sep 27, 2021 Accepting new patients
Traveling Nurse Practitioner, LLC CurrentSince Sep 10, 2018 Accepting new patients
Vpa PC CurrentSince May 10, 2018 Accepting new patients
The Metrohealth System Current Accepting new patients
Vpa PC Current Accepting new patients

Locations

880 Mull Ave
Ste 200
Akron, OH 44313
Phone (330) 590-0847

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

16888 Harvard Ave
Cleveland, OH 44128
Phone (216) 682-7703

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: mbrown230126@direct.metrohealth.org

Organizations & group practices 8

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1538547666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746071",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746071",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16888 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-810-7159",
            "fax_number": "216-920-6286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122440",
            "country_code": "US",
            "telephone_number": "260-344-4035",
            "fax_number": "260-969-9272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MABLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "17271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.