Individual provider Active NPI

Mayra Karina Concepcion, APRN

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1932976354
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035248 Issued in OH
Practice address
423 S Ridge Dr
Cleveland, OH 44109-3755
Phone
(216) 894-1018
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035248 OH Primary

Addresses

Primary practice location

423 S Ridge Dr
Cleveland, OH 44109-3755

Mailing address

423 S Ridge Dr
Cleveland, OH 44109-3755
Phone (216) 894-1018

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
I20240605002781 OH Practitioner - Nurse Practitioner 9436691425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Urgent Care LLCGroup PAC ID 6608209812, 5 clinicians
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

1956 E 79TH St
Cleveland, OH 44103-4270
Phone (440) 554-7025

26901 Brookpark Rd Ext
North Olmsted, OH 44070-3176
Phone (440) 471-7044

36000 Detroit Rd
Suite 200
Avon, OH 44011-1641
Phone (440) 577-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Urgent Care LLC CurrentSince May 1, 2024 Accepting new patients
Cuc Health LLC CurrentSince May 13, 2024 Accepting new patients
Quick Med Urgent Care LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

36000 Detroit Rd
Ste 200
Avon, OH 44011
Phone (440) 577-8200

12940 Lorain Ave
Cleveland, OH 44111
Phone (216) 251-2559

1956 E 79th St
Cleveland, OH 44103
Phone (216) 431-3733

14529 Puritas Ave
Cleveland, OH 44135
Phone (216) 476-1400

401 Cleveland St
Elyria, OH 44035
Phone (440) 309-3823

26901 Brookpark Road Ext
North Olmsted, OH 44070
Phone (440) 471-7044

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mayra.concepcion.1@26582.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1932976354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S RIDGE DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093755",
            "telephone_number": "216-894-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S RIDGE DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093755",
            "telephone_number": "216-894-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "MAYRA",
        "middle_name": "KARINA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.