Mayumi Hiraide, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.023589 Issued in OH

Practice address

2960 Mack Rd Ste 200
Fairfield, OH 45014-5300

Phone

(513) 774-2870

Fax

(513) 774-2633

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
• Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Surgery Physician
  • Blue Ash, OH
  • NPI 1154942795
  Medicare reassignment Care Compare group NPD
• Adams County Regional Medical Center

  • Critical Access Hospital
  • Seaman, OH
  • NPI 1851946909
  Medicare reassignment NPD
• Adams County Regional Medical Center

  • Rural Health Clinic/Center
  • Peebles, OH
  • NPI 1114640240
  NPD
• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Liberty TWP, OH
  • NPI 1730993270
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jewish Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1336478163
  Care Compare affiliation
• Mercy Health - Fairfield Hospital LLC

  • General Acute Care Hospital
  • Fairfield, OH
  • NPI 1467552471
  Care Compare affiliation

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1699306118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145300",
            "telephone_number": "513-774-2870",
            "fax_number": "513-774-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145300",
            "telephone_number": "513-774-2870",
            "fax_number": "513-774-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "OH",
            "postal_code": "456931562",
            "country_code": "US",
            "telephone_number": "937-544-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRAIDE",
        "first_name": "MAYUMI",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samar Hijazi, MD
• Benjamin Joseph Hill, M.D.
• Charesse Lynnette Hill
• Raven Symone Hill, LPN
• Sarah Elizabeth Hille, OTR/L
• Hoban Dentistry LLC
• Patrick Joseph Hoban, DDS
• Ashley Lauren Hoberty, HIS
• Eric Hoffer, DPT
• Lisa M. Hoffman, M.D.

• Family Nurse Practitioner in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.

Verify at the official NPI Registry.