Individual provider Active NPI

Michael Scott Bennett, M.S.N., R.N., C.N.P.

  • Gerontology Nurse Practitioner
  • Shaker Heights, OH
National Provider Identifier
1952746067
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
COA.14306-NP Issued in OH
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000821 OH Practitioner - Nurse Practitioner 5597907873 Reassigns benefits to 2 organizations

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
University Hospitals Regional Practices LLCGroup PAC ID 3779818638, 26 clinicians

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 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
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

LicenseStateTypeSpecialty
RN.388869-COA1OHMDRegistered Nurse
COA.14306-NPOHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Regional Practices LLC CurrentSince Mar 1, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 10, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 10, 2021 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

  • Direct secure messaging: mbennett27738@ehrdirect.uhhospitals.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.