Active NPI
Melissa Fourmann, CNP
- Family Nurse Practitioner
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-12957
- Practice address
- 1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162 - Phone
- (440) 227-7867
- Fax
- (855) 556-6404
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-12957 | OH | Primary |
Addresses
Primary practice location
1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162
Mailing address
1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162
Phone (440) 227-7867
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Washington St
Medina, OH 44256-2170
Phone (330) 725-1000
122 Medina Rd
Medina, OH 44256-9650
Phone (330) 239-1100
230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470
236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431
4000 Massillon Rd
Uniontown, OH 44685-7863
Phone (330) 899-0404
635 N Huntington St
Medina, OH 44256-1871
Phone (330) 591-2777
Hospital & facility affiliations
- Medina Hospital
- Cleveland Clinic
- Akron General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-12957 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medina Hospital | Current | Accepting new patients | |
| Skill Doc 101, LLC | Current | Accepting new patients | |
| Pinnacle Care Providers, LLC | Family | Current | Accepting new patients |
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Medina Hospital | Current | Accepting new patients |
Locations
236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431
230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470
1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
-
- Internal Medicine Physician
- Canton, OH
- NPI 1043647803
-
- Emergency Medicine Physician
- Brunswick, OH
- NPI 1174586150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1689944845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E STE 1000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141162",
"telephone_number": "440-227-7867",
"fax_number": "855-556-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E STE 1000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141162",
"telephone_number": "440-227-7867",
"fax_number": "855-556-6404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURMANN",
"first_name": "MELISSA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-12957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.