Individual provider Active NPI

Margarita Perez, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, OH
National Provider Identifier
1679185441
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0033441 Issued in OH
Practice address
1406 Westwood Ave Ste 207
Lakewood, OH 44107-3716
Phone
(216) 925-4228
Fax
(216) 208-1412
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 414658 OH
Psychiatric/Mental Health Registered Nurse 163WP0808X 414658 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0033441 OH Primary

Addresses

Primary practice location

1406 Westwood Ave Ste 207
Lakewood, OH 44107-3716

Mailing address

1406 Westwood Ave Ste 207
Lakewood, OH 44107-3716
Phone (216) 925-4228

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
I20230502002011 OH Practitioner - Nurse Practitioner 1355706029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.56 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
70.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
414658OHMDPsychiatric/Mental Health Registered Nurse
0033441OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
360Team Psychiatry LLC Psychiatric/Mental Health CurrentSince Apr 19, 2023 Accepting new patients
Community Hospitalist, LLC CurrentSince Aug 1, 2024 Accepting new patients
Mind & Body/ Mental Rehab, LLC Psychiatric/Mental Health CurrentSince Jul 21, 2024 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

15728 Lorain Ave
Cleveland, OH 44111
Phone (216) 252-6224

1406 Westwood Ave
Ste 207
Lakewood, OH 44107
Phone (216) 925-4228

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1679185441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 WESTWOOD AVE STE 207",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073716",
            "telephone_number": "216-925-4228",
            "fax_number": "216-208-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 WESTWOOD AVE STE 207",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073716",
            "telephone_number": "216-925-4228",
            "fax_number": "216-208-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARGARITA",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "414658",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "414658",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0033441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.