Individual provider Active NPI

Mandy Lynn Healey, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1639678329
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022329 Issued in OH
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 281-0872
NPI assigned
Feb 7, 2018
Last updated
Oct 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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 APRN.CNP.022329 OH Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

13669 Hollo Oval
Strongsville, OH 44149-4016

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
I20180227002744 OH Practitioner - Nurse Practitioner 2769743152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022329OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated CurrentSince Oct 1, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Oct 1, 2019 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
Mycare Clinic LLC PastSince Feb 13, 2018 Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients

Locations

11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

3569 Ridge Rd
Cleveland, OH 44102

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: mhealey236844@direct.metrohealth.org
  • Direct secure messaging: mhealey291666@direct.ochin.org

Organizations & group practices 12

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1639678329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13669 HOLLO OVAL",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441494016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "MANDY",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.