Individual provider Active NPI

Maureen Ann Roheny, CNP

  • Adult Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1932279098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-08093 Issued in OH
Practice address
11100 Euclid Ave
WRN 5057
Cleveland, OH 44106-1716
Phone
(216) 844-3523
Fax
(216) 844-1521
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NP-08093 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
WRN 5057
Cleveland, OH 44106-1716

Mailing address

3123 Forest Lake Dr
Westlake, OH 44145-1730
Phone (440) 835-8475

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
I20120910000558 OH Practitioner - Nurse Practitioner 2062660483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care AllianceGroup PAC ID 8527034818, 12 clinicians

Practice addresses (Care Compare)

1530 Saint Clair Ave NE
Cleveland, OH 44114-2004
Phone 2165359100282

2916 Central Ave
Cleveland, OH 44115-3229
Phone (216) 535-9100

6001 Woodland Ave
Cleveland, OH 44104-2762
Phone (216) 535-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-08093OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alliance CurrentSince Aug 10, 2020 Accepting new patients
The Metrohealth System CurrentSince Aug 27, 2012 Accepting new patients
Care Alliance Current Accepting new patients
Care Alliance CurrentSince Aug 10, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Aug 27, 2012 Accepting new patients
Care Alliance Past Accepting new patients

Locations

1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018

Interoperability endpoints

  • Direct secure messaging: mroheny51734@direct.metrohealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932279098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 FOREST LAKE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451730",
            "telephone_number": "440-835-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "WRN 5057",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3523",
            "fax_number": "216-844-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHENY",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-08093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.