Individual provider Active NPI

Melissa R Wonorski

  • Adult Health Nurse Practitioner
  • Mansfield, OH
National Provider Identifier
1720685803
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.0027771 Issued in OH
Practice address
770 Balgreen Dr FL 1
Mansfield, OH 44906-4106
Phone
(419) 522-0320
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.458579 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0027771 OH Primary

Addresses

Primary practice location

770 Balgreen Dr FL 1
Mansfield, OH 44906-4106

Mailing address

5640 Larksdale Dr
Galloway, OH 43119-9693
Phone (614) 314-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201106001963 OH Practitioner - Nurse Practitioner 3173933900 Reassigns benefits to 1 organization
I20260106001818 MT Practitioner - Nurse Practitioner 3173933900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

2442 Winne Ave
Helena, MT 59601-4921
Phone (406) 442-2480

2475 Broadway
Helena, MT 59601-4928

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180

770 Balgreen Dr
Suite 207
Mansfield, OH 44906-4106
Phone (614) 566-4378

Hospital & facility affiliations

  • St Peters Health Hospital, Helena, MT, CCN 270003
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.458579OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Current Accepting new patients
St. Peter'S Health CurrentSince Jan 5, 2026 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2021 Accepting new patients
St. Peter'S Health CurrentSince Jan 5, 2026 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2021 Accepting new patients
St Peter'S Health Past Accepting new patients

Locations

2442 Winne Ave
Helena, MT 59601
Phone (406) 324-9400

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

770 Balgreen Dr
Ste 107
Mansfield, OH 44906
Phone (419) 522-0320

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

770 Balgreen Dr
Ste 207
Mansfield, OH 44906
Phone (419) 522-6800

770 Balgreen Dr
Fl 1
Mansfield, OH 44906
Phone (419) 522-0320

Organizations & group practices 6

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 6

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1720685803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 LARKSDALE DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199693",
            "telephone_number": "614-314-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BALGREEN DR FL 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064106",
            "telephone_number": "419-522-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONORSKI",
        "first_name": "MELISSA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.458579",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0027771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.