Mary Katherine Demboske, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.0029217 Issued in OH

Practice address

701 Tyler St
Sandusky, OH 44870-3321

Phone

(419) 557-7480

NPI assigned

Jul 7, 2021

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

Other names 1

• Mary Katherine McCray Former name

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

Ohio State University College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
• Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065
• Magruder Hospital Hospital, Port Clinton, OH, CCN 361314

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

59.13

Promoting interoperability

99

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdemboske20118@nomshealthcare.direct-ci.com
• Direct secure messaging: mary.demboske@fpg.medicity.net

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.

• North Coast Professional Company, LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1881648210
  Medicare reassignment Care Compare group NPD
• North Coast Professional Company, LLC

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1407393242
  NPD

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

• Firelands Regional Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tiffin, OH
  • NPI 1154372381

  Hospital

  Care Compare affiliation
• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1285392936
  Care Compare affiliation
• Firelands Regional Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandusky, OH
  • NPI 1629028600

  Hospital

  Care Compare affiliation
• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1801884655
  Care Compare affiliation
• Firelands Regional Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, OH
  • NPI 1992756118

  Hospital

  Care Compare affiliation
• Fisher-Titus Medical Center

  • General Acute Care Hospital
  • Norwalk, OH
  • NPI 1992738959
  Care Compare affiliation
• H.B. Magruder Memorial Hospital

  • Critical Access Hospital
  • Port Clinton, OH
  • NPI 1922079532
  Care Compare affiliation

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1699346031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TYLER ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703321",
            "telephone_number": "419-557-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBOSKE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0029217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCCRAY",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sevanne L Decker, BSRPH
• Shelly Jo Delamatre, P.T.
• Leslie Delk
• James Lawrence Della Santina, DDS
• Antonette Deluca
• Nicholas Paul Denbesten, PH.D.
• Jeanette Lynn Dendy
• Adam Dengler, RD, LD
• Annette Denney, RPH
• Terri Lynn Denney, LPN

• Gerontology Nurse Practitioner in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.