Marianne Smith

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

025646 Issued in OH

Practice address

709 Griggy Rd
Mogadore, OH 44260-9698

Phone

(330) 760-0669

NPI assigned

Apr 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Kent State University College of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pace Healthcare LLCGroup PAC ID 3779914502, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pace Healthcare LLC

  • Family Medicine Physician
  • Wooster, OH
  • NPI 1992334858
  Medicare reassignment Care Compare group NPD
• Pace Healthcare LLC

  • Family Medicine Physician
  • Barberton, OH
  • NPI 1124750617
  NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1871174284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 GRIGGY RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 GRIGGY RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609698",
            "telephone_number": "330-760-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "025646",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "025646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelene R Ritter
• Michael James Roberts, STNA
• Hannah Schenault, LMSW
• Chad R Shillingburg
• Gianna Christine Simonetti
• Tracy Erica Smith
• Sarah Stoper, PHARMD
• Suffield Township Trustees
• Transitional Healthcare Solutions, LLC
• Tori Trbovich

• Acute Care Nurse Practitioner in Mogadore, OH
• Providers in Mogadore, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.
• 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.

Verify at the official NPI Registry.