Individual provider Active NPI

Maureen O'Neil Manbeck, APRN

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1770120487
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
025141 Issued in OH
Practice address
1 Spartan Way
Lima, OH 45801-4561
Phone
(419) 222-3546
NPI assigned
Dec 2, 2019
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 025141 OH Primary

Addresses

Primary practice location

1 Spartan Way
Lima, OH 45801-4561

Mailing address

329 N West St
Lima, OH 45801-4331
Phone (419) 221-3072

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
I20200206001052 OH Practitioner - Nurse Practitioner 9739515909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Partners of Western OhioGroup PAC ID 9436139987, 56 clinicians

Practice addresses (Care Compare)

1 Spartan Way
Lima, OH 45801-4561
Phone (419) 222-3546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025141OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Health Partners of Western Ohio CurrentSince Jun 5, 2022 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Health Partners of Western Ohio CurrentSince Jun 5, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients

Locations

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

1843 W Main St
Troy, OH 45373
Phone (937) 208-4120

Organizations & group practices 7

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": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1770120487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014331",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPARTAN WAY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014561",
            "telephone_number": "419-222-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANBECK",
        "first_name": "MAUREEN",
        "middle_name": "O'NEIL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "025141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.