Individual provider Active NPI

Melissa Marie Nawrocki, AGNP-C

  • Gerontology Nurse Practitioner
  • Brookpark, OH
National Provider Identifier
1750056032
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0029484 Issued in OH
Practice address
6071 Pickway Dr
Brookpark, OH 44142-3045
Phone
(440) 342-8388
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0029484 OH Primary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0029484 OH

Addresses

Primary practice location

6071 Pickway Dr
Brookpark, OH 44142-3045

Mailing address

6071 Pickway Dr
Brookpark, OH 44142-3045
Phone (440) 342-8388

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
I20211201000988 OH Practitioner - Nurse Practitioner 3072903319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stafford Services, Inc.Group PAC ID 4486678901, 28 clinicians

Practice addresses (Care Compare)

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8488

Merit-based Incentive Payment System (MIPS)

Final score
66.34 of 100Reported as group
Quality
63.79
Promoting interoperability
0
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 17, 2024 Accepting new patients
Stafford Services, Inc. CurrentSince Dec 13, 2021 Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

12380 Plaza Dr
Ste 101
Parma, OH 44130
Phone (216) 898-8444

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1750056032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 PICKWAY DR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423045",
            "telephone_number": "440-342-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 PICKWAY DR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423045",
            "telephone_number": "440-342-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWROCKI",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0029484",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0029484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

Verify at the official NPI Registry.