Individual provider Active NPI

Monique S Malmer

  • Nurse Practitioner
  • Warren, OH
National Provider Identifier
1609279678
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.16459-NP Issued in OH
Practice address
5000 E Market St
Warren, OH 44484-2260
Phone
(330) 856-9699
Fax
(330) 856-9935
NPI assigned
Oct 3, 2014
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.16459-NP OH Primary

Addresses

Primary practice location

5000 E Market St
Warren, OH 44484-2260

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 856-9699

Other names 1

  • Monique S Warren Former name

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
I20240723003866 OH Practitioner - Nurse Practitioner 7810433141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Recovery Concepts, LLCGroup PAC ID 5991005860, 37 clinicians

Practice addresses (Care Compare)

25700 Science Park Dr
Suite 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.16459-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Recovery Concepts LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Akron Children's Hospital Current Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

5208 Mahoning Ave
Ste 209
Youngstown, OH 44515
Phone (330) 792-5247

Interoperability endpoints

  • Direct secure messaging: mmalmer2330@direct.chmca.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.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1609279678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-856-9699",
            "fax_number": "330-856-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842260",
            "telephone_number": "330-856-9699",
            "fax_number": "330-856-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMER",
        "first_name": "MONIQUE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.16459-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "WARREN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.