Individual provider Active NPI

Danielle Wines, NP

  • Gerontology Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1649879032
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0027752 Issued in OH
Practice address
2213 Cherry St Unit B
Toledo, OH 43608-2603
Phone
(419) 251-5155
Fax
(419) 251-5160
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0027752 OH Primary

Addresses

Primary practice location

2213 Cherry St Unit B
Toledo, OH 43608-2603

Mailing address

3400 W Sylvania Ave
Toledo, OH 43323

Other practice location 1

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-1727

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA

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
I20210204002420 OH Practitioner - Nurse Practitioner 4688088578 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Partners Northern Region Specialty Care LLCGroup PAC ID 9739585480, 86 clinicians
Toledo Cardiology Consultants IncGroup PAC ID 4082609656, shared by 2 NPIs, 17 clinicians

Practice addresses (Care Compare)

1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 784-1414

2409 Cherry St
Suite 100
Toledo, OH 43608-2670
Phone (419) 251-3700

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Mercy Health - Defiance Hospital Hospital, Defiance, OH, CCN 360270
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC CurrentSince Feb 26, 2021 Accepting new patients
Toledo Cardiology Consultants Inc CurrentSince Mar 4, 2024 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Aug 1, 2024 Accepting new patients
Toledo Cardiology Consultants Inc CurrentSince Mar 4, 2024 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Feb 26, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7581 Secor Rd
Lambertville, MI 48144
Phone (734) 854-1800

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

959 Illinois Ave
Ste C
Maumee, OH 43537
Phone (419) 251-3711

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

3851 Navarre Ave
Ste 210
Oregon, OH 43616
Phone (419) 251-3700

12621 Eckel Junction Rd
Ste 250
Perrysburg, OH 43551

7640 Sylvania Ave
Ste I
Sylvania, OH 43560
Phone (419) 473-6637

470 W Market St
Tiffin, OH 44883
Phone (419) 443-9650

2213 Cherry St
Unit B
Toledo, OH 43608
Phone (419) 251-5155

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2409 Cherry St
Ste 100
Toledo, OH 43608
Phone (419) 251-3700

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: dwines98183@direct.bsmhealth.org

Organizations & group practices 8

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 4

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1649879032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST UNIT B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-5155",
            "fax_number": "419-251-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3404 W Sylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234467",
            "country_code": "US",
            "telephone_number": "419-407-1727",
            "fax_number": "419-407-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINES",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0027752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "Have not accepted a position at this time. TBD",
            "address_1": "5933 Sarah Lake Dr",
            "city": "Sylvania",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435609201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.