Individual provider Active NPI

Molly Gumucio, CNP

  • Women's Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1578994042
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.15446 Issued in OH
Practice address
18200 Lorain Ave
Cleveland, OH 44111-5605
Phone
(216) 476-7606
NPI assigned
Dec 9, 2013
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X COA 15446-NP OH
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.15446 OH Primary

Addresses

Primary practice location

18200 Lorain Ave
Cleveland, OH 44111-5605

Mailing address

18200 Lorain Ave
Cleveland, OH 44111-5605
Phone (216) 476-7606

Other practice location 1

7575 Northcliff Ave
Brooklyn, OH 44144-3267
Phone (216) 398-5988

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
I20140219000420 OH Practitioner - Nurse Practitioner 8022247980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15446OHMDWomen's Health Nurse Practitioner
COA 15446-NPOHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 8, 2014 Accepting new patients

Locations

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7086

7575 Northcliff Ave
Cleveland, OH 44144
Phone (216) 398-5551

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Interoperability endpoints

  • Direct secure messaging: mgumucio58636@direct.ccf.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1578994042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115605",
            "telephone_number": "216-476-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115605",
            "telephone_number": "216-476-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 Northcliff Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443267",
            "country_code": "US",
            "telephone_number": "216-398-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUMUCIO",
        "first_name": "MOLLY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA 15446-NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.15446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.