Individual provider Active NPI

Mary A Peters, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwalk, OH
National Provider Identifier
1760730949
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.13596 Issued in OH
Practice address
282 Benedict Ave Ste C
Norwalk, OH 44857-2712
Phone
(419) 668-0311
Fax
(419) 668-0312
NPI assigned
Aug 21, 2012
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.13596 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.13596 OH Primary

Addresses

Primary practice location

282 Benedict Ave Ste C
Norwalk, OH 44857-2712

Mailing address

282 Benedict Ave Ste C
Norwalk, OH 44857-2712
Phone (419) 668-0311

Other identifiers 1

IdentifierTypeStateIssuer
0070923MedicaidOH

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
I20121004000822 OH Practitioner - Nurse Practitioner 2668621764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1912 Hayes Ave
Suite D
Sandusky, OH 44870-4736
Phone (419) 502-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.13596OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Erie County CurrentSince Jul 19, 2022 Accepting new patients
Family Health Services of Erie County CurrentSince Jul 19, 2022 Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients

Locations

20 Center St
Berlin Heights, OH 44814
Phone (419) 499-3000

207 Lowell St
Rm 212
Castalia, OH 44824

209 Lowell St
Ste 213
Castalia, OH 44824

3851 US Hwy 20
Collins, OH 44826

1 University Dr
Rm 112B
Huron, OH 44839

710 Cleveland Rd W
Huron, OH 44839

140 S Main St
Milan, OH 44846
Phone (419) 499-2471

2603 State Route 113 E
Milan, OH 44846
Phone (419) 499-3000

101 West St
Rm 340
Monroeville, OH 44847

265 Benedict Ave
Norwalk, OH 44857
Phone (419) 219-9776

282 Benedict Ave
Ste C
Norwalk, OH 44857
Phone (419) 219-9776

125 E Adams St
Sandusky, OH 44870

149 E Water St
Sandusky, OH 44870
Phone (419) 625-0925

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-2832

1912 Hayes Ave
Ste E
Sandusky, OH 44870

2020 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-1236

2130 Hayes Ave
Sandusky, OH 44870
Phone (419) 261-2744

2130 Hayes Ave
#A
Sandusky, OH 44870

2130 Hayes Ave
Ste A
Sandusky, OH 44870

2314 Hancock St
Sandusky, OH 44870

620 E Water St
Sandusky, OH 44870
Phone (419) 626-2560

620 E Water St
Ste A
Sandusky, OH 44870
Phone (419) 502-2829

924 Ontario St
Sandusky, OH 44870
Phone (419) 984-1250

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Health Services of Erie CountyNorwalk, OH, CCN 721876 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)
Apr 1, 2026
Apr 1, 2026
Family Health Services of Erie CountySandusky, OH, CCN 721881 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)
Apr 1, 2026
Apr 1, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1760730949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE C",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-0311",
            "fax_number": "419-668-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE C",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-0311",
            "fax_number": "419-668-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.13596",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.13596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070923",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.