Individual provider Active NPI

Mary Mann, CNP

  • Family Nurse Practitioner
  • Florence, KY
National Provider Identifier
1851060057
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016190 Issued in KY
Practice address
8780 US Highway 42
Florence, KY 41042-6936
Phone
(859) 384-8320
Fax
(859) 384-8338
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 CNP.0029684 OH
Family Nurse Practitioner 363LF0000X 3016190 KY Primary

Addresses

Primary practice location

8780 US Highway 42
Florence, KY 41042-6936

Mailing address

2139 Auburn Avenue
Attn: Payor Enrollment 4-7
Cincinnati, OH 45219-2610
Phone (513) 351-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230221001756 KY Practitioner - Nurse Practitioner 6002213311 Reassigns benefits to 1 organization

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
Christ Hospital Medical Associates, II LLCGroup PAC ID 7012197619, 24 clinicians

Practice addresses (Care Compare)

8780 US
Suite 42
Florence, KY 41042-6936
Phone (859) 384-8320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.0029684OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Associates II, LLC CurrentSince Feb 13, 2023 Accepting new patients

Locations

8780 US Highway 42
Florence, KY 41042
Phone (859) 384-2660

1955 Dixie Hwy
Ste D
Ft Wright, KY 41011
Phone (859) 341-5757

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2139 Auburn Ave
#47
Cincinnati, OH 45219

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1851060057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVENUE",
            "address_2": "ATTN: PAYOR ENROLLMENT 4-7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-351-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 US HIGHWAY 42",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410426936",
            "telephone_number": "859-384-8320",
            "fax_number": "859-384-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MARY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.0029684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.