Active NPI
Jean M Marino, NP
- Obstetrics & Gynecology Nurse Practitioner
- Beachwood, OH
National Provider Identifier
1841625639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- COA.15050-NP
- Practice address
- 24300 Chagrin Blvd Ste 103
Beachwood, OH 44122-5629 - Phone
- (216) 877-8879
- Fax
- (216) 483-0696
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | COA.15050-NP | OH | Primary |
Addresses
Primary practice location
24300 Chagrin Blvd Ste 103
Beachwood, OH 44122-5629
Mailing address
24300 Chagrin Blvd Ste 103
Beachwood, OH 44122-5629
Phone (216) 877-8879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA.15050-NP | Other | OH | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jean@kultivatewomenshealth.com | Direct | |
| Direct Messaging Address | jeanmarino@uhps.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8055 Mayfield Rd
Chesterland, OH 44026-2447
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.15050-NP | OH | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- jmarino28176@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1841625639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24300 CHAGRIN BLVD STE 103",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225629",
"telephone_number": "216-877-8879",
"fax_number": "216-483-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24300 CHAGRIN BLVD STE 103",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225629",
"telephone_number": "216-877-8879",
"fax_number": "216-483-0696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "JEAN",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "OH",
"license": "COA.15050-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "COA.15050-NP",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jean@kultivatewomenshealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "24300 Chagrin Blvd Ste 103",
"city": "Beachwood",
"state": "OH",
"country_code": "US",
"postal_code": "441225629",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeanmarino@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "5850 Landerbrook Dr",
"city": "Mayfield Heights",
"state": "OH",
"country_code": "US",
"postal_code": "441246531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.