Active NPI
Michael Scott Bennett, M.S.N., R.N., C.N.P.
- Gerontology Nurse Practitioner
- Shaker Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- COA.14306-NP
- Practice address
- 3605 Warrensville Center Rd
2362-H
Shaker Heights, OH 44122-5203 - Phone
- (216) 952-0955
- NPI assigned
- May 2, 2013
- Last updated
- Jan 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | COA.14306-NP | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | COA.14306-NP | OH | Primary |
| Registered Nurse | 163W00000X | RN.388869-COA1 | OH |
Addresses
Primary practice location
3605 Warrensville Center Rd
2362-H
Shaker Heights, OH 44122-5203
Mailing address
13085 Gar Hwy
Chardon, OH 44024-9206
Phone (773) 307-8500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MICHAELBENNETT@UHPS.ALLSCRIPTSDIRECT.NET |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 W Main Rd
Suite 203
Conneaut, OH 44030-2039
Phone (440) 285-2960
15976 E High St
Suite 100
Middlefield, OH 44062-9474
Phone (440) 632-0770
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.24 of 100
- Quality
- 62.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.388869-COA1 | OH | MD | Registered Nurse |
| COA.14306-NP | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Hospitals Regional Practices LLC | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices | Past | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
7500 Auburn Rd
Ste 2300
Concord Township, OH 44077
Phone (440) 354-9900
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
10724 South St
Garrettsville, OH 44231
Phone (330) 527-2617
15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770
3605 Warrensville Center Rd
#2362H
Shaker Heights, OH 44122
Phone (216) 952-0955
Interoperability endpoints
- mbennett27738@ehrdirect.uhhospitals.org
- michaelbennett@uhps.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1336602218
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
dba Uhmp
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
dba Center for Orthopedics
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1952746067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13085 GAR HWY",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249206",
"telephone_number": "773-307-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 WARRENSVILLE CENTER RD",
"address_2": "2362-H",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225203",
"telephone_number": "216-952-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "M.S.N., R.N., C.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA.14306-NP",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "COA.14306-NP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.388869-COA1",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MICHAELBENNETT@UHPS.ALLSCRIPTSDIRECT.NET",
"affiliation": "N",
"address_1": "4510 Richmond Rd",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441285757",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.