Individual provider Active NPI

Brooke K Mash, CNP

  • Adult Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1881981124
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN.334093 Issued in OH
Practice address
4125 Medina Rd
Suite 104
Akron, OH 44333-2483
Phone
(330) 665-8120
Fax
(330) 665-8129
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN.334093 OH Primary

Addresses

Primary practice location

4125 Medina Rd
Suite 104
Akron, OH 44333-2483

Mailing address

4125 Medina Rd
Suite 104
Akron, OH 44333-2483
Phone (330) 665-8120

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
I20111005000927 OH Practitioner - Nurse Practitioner 2365614807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron General Medical CenterGroup PAC ID 8426961061, 117 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432

1940 Town Park Blvd
Uniontown, OH 44685-7855
Phone (330) 896-5000

4125 Medina Rd
Akron, OH 44333-2483
Phone (330) 665-8000

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.334093OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Akron General Medical Center CurrentSince May 25, 2019 Accepting new patients
Akron General Medical Center CurrentSince May 25, 2019 Accepting new patients

Locations

4127 Medina Rd
Ste 104
Akron, OH 44333
Phone (330) 344-6294

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

4125 Medina Rd
Ste 104
Akron, OH 44333
Phone (330) 665-8121

Organizations & group practices 2

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 1

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1881981124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "address_2": "SUITE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8120",
            "fax_number": "330-665-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "address_2": "SUITE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8120",
            "fax_number": "330-665-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASH",
        "first_name": "BROOKE",
        "middle_name": "K",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN.334093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.