Individual provider Active NPI

Melissa Fourmann, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1689944845
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-12957 Issued in OH
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

Updated by the provider on Jul 23, 2015

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000232 OH Practitioner - Nurse Practitioner 6305003252 Reassigns benefits to 4 organizations

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
Medina HospitalGroup PAC ID 3072410125, 25 clinicians
Pinnacle Care Providers, LLCGroup PAC ID 1850437948, 40 clinicians
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

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 Hospital, Medina, OH, CCN 360091
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-12957OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medina Hospital CurrentSince Jun 21, 2022 Accepting new patients
Skill Doc 101, LLC CurrentSince Aug 4, 2025 Accepting new patients
Pinnacle Care Providers, LLC Family CurrentSince Aug 4, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Sep 3, 2025 Accepting new patients
Medina Hospital CurrentSince Jun 21, 2022 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.