NPIMap

Individual provider Active NPI

Adam John Ridenour, CNP

  • Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1649793241
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021244 Issued in OH
Practice address
7956 Tyler Blvd
Mentor, OH 44060-4806
Phone
(440) 255-6040
Fax
(440) 255-3637
NPI assigned
Jul 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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 APRN.CNP.021244 OH Primary

Addresses

Primary practice location

7956 Tyler Blvd
Mentor, OH 44060-4806

Mailing address

36000 Euclid Ave # Mso
Willoughby, OH 44094-4625
Phone (440) 953-6082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821001066 OH Practitioner - Nurse Practitioner 2062784481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021244OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Nurse Practitioner CurrentSince Aug 2, 2017 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Lake Hospital System, Inc CurrentSince Aug 2, 2017 Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

7500 Auburn Rd
Ste 1500
Concord Township, OH 44077
Phone (440) 358-5480

9000 Mentor Ave
Ste 204
Mentor, OH 44060
Phone (440) 974-4211

7956 Tyler Blvd
Mentor on Lk, OH 44060
Phone (440) 255-4455

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

29099 Health Campus Dr
Ste 170
Westlake, OH 44145
Phone (440) 827-5195

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: aridenour27824@ehrdirect.uhhospitals.org

Organizations & group practices 4

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 7

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1649793241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 EUCLID AVE # MSO",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944625",
            "telephone_number": "14409536082",
            "fax_number": "440-953-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7956 TYLER BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604806",
            "telephone_number": "440-255-6040",
            "fax_number": "440-255-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENOUR",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.