Individual provider Active NPI

Mariah Rue, APRN

  • Adult Health Nurse Practitioner
  • Massillon, OH
National Provider Identifier
1629471784
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG0714168 Issued in OH
Practice address
7337 Caritas Cir NW
Suite 150
Massillon, OH 44646-9126
Phone
(330) 478-0001
Fax
(330) 837-2646
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG0714168 OH Primary

Addresses

Primary practice location

7337 Caritas Cir NW
Suite 150
Massillon, OH 44646-9126

Mailing address

1526 Elberta Ave SW
North Canton, OH 44709-1075
Phone (330) 312-1054

Other identifiers 2

IdentifierTypeStateIssuer
AG0714168OtherOHAANP
COA.16472-NPOtherOHOHIO BOARD OF NURSING

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
I20141229000800 OH Practitioner - Nurse Practitioner 5395068241 Reassigns benefits to 1 organization

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
Tri-County Hematology and Oncology Associates IncGroup PAC ID 7315934445, 6 clinicians

Practice addresses (Care Compare)

7337 Caritas Cir NW
Suite 150
Massillon, OH 44646-9128
Phone (330) 478-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
79.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG0714168OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Hematology and Oncology Associates CurrentSince Dec 6, 2022 Accepting new patients
Tri-County Hematology & Oncology Associates Inc CurrentSince Oct 20, 2014 Accepting new patients

Locations

3688 Dressler Rd NW
Canton, OH 44718
Phone (330) 478-0001

300 Medical Park Dr
Ste 201
Dover, OH 44622
Phone (330) 343-6909

7337 Caritas Cir NW
Ste 150
Massillon, OH 44646
Phone (330) 478-0001

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 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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1629471784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 ELBERTA AVE SW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447091075",
            "telephone_number": "330-312-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW",
            "address_2": "SUITE 150",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469126",
            "telephone_number": "330-478-0001",
            "fax_number": "330-837-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUE",
        "first_name": "MARIAH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "AG0714168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "AG0714168",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "COA.16472-NP",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.