Individual provider Active NPI

Monica Daugherty, FNP-C

  • Medical-Surgical Registered Nurse
  • Cleveland, OH
National Provider Identifier
1801040977
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
RN 337886 Issued in OH
Practice address
19300 Mayfair LN
Cleveland, OH 44128-2725
Phone
(216) 283-0041
NPI assigned
Nov 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN 337886 OH
Family Nurse Practitioner 363LF0000X 024461 OH
Medical-Surgical Registered Nurse 163WM0705X RN 337886 OH Primary

Addresses

Primary practice location

19300 Mayfair LN
Cleveland, OH 44128-2725

Mailing address

24560 Laing Rd
Bedford HTS, OH 44146-4037
Phone (216) 288-2563

Other identifiers 1

IdentifierTypeStateIssuer
0340754OtherOHFNP PROVIDER #

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
I20191219001700 OH Practitioner - Nurse Practitioner 2062846389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

951 E Main St
Ravenna, OH 44266-3325
Phone (330) 235-6138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 337886OHMDWound Care Registered Nurse
024461OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Apr 1, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Dec 2, 2024 Accepting new patients

Locations

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

7715 W Ridgewood Dr
Parma, OH 44129
Phone (440) 809-8132

951 E Main St
Ravenna, OH 44266
Phone (330) 235-6138

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1801040977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 LAING RD",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "441464037",
            "telephone_number": "216-288-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 MAYFAIR LN",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282725",
            "telephone_number": "216-283-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "MONICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-15",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OH",
            "license": "RN 337886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024461",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "RN 337886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP PROVIDER #",
            "identifier": "0340754",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.