STEPHANIE MCGINTY WALLINGFORD CNP
NPI 1093427379
Nurse Practitioner - Family in Willoughby, OH

Q: What is Stephanie Wallingford's NPI number?

The NPI number for Stephanie Wallingford is 1093427379. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Q: What is Stephanie Wallingford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 19, 2022PECOS EnrolledAccepts Medicare Assignment

6005 SOM CENTER RD, WILLOUGHBY, OH 44094(440) 946-7252 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Stephanie Mcginty Wallingford Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MCGINTY WALLINGFORD CNP (NPI 1093427379) is an individual family provider in Willoughby, Ohio, licensed in Ohio (APRN.CNP.0032840) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093427379

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE MCGINTY WALLINGFORDCredential: CNP

Location Address6005 SOM CENTER RDWilloughby, OH 44094-9646

Mailing Address3335 Azalea Ridge DrPerry, OH 44081-9223 · (440) 488-7643

Phone(440) 946-7252

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 19, 2022

Last NPPES UpdateFebruary 21, 2024

NPPES CertifiedFebruary 21, 2024

✔ NPI 1093427379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0032840

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0032840 (OH)

6005 SOM CENTER RD, Willoughby, OH 44094

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Mcginty Wallingford Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567834229

PECOS Enrollment IDI20230207002415

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stephanie Wallingford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Primary Care Practices Inc

2.8 mi

Occupational Medicine

28080 CHARDON RD STE 204
Wickliffe, OH 44092

Reassigned Medicare billing, Ohio enrollment
1,437 clinicians in this Medicare group

NPI 1528195492 (440) 944-2863

University Hospitals Urgent Care, LLC

11 mi

Urgent Care

3909 ORANGE PL STE 2100
Beachwood, OH 44122

Reassigned Medicare billing, Ohio enrollment
87 clinicians in this Medicare group

NPI 1124765052 (440) 809-8810

Harmony Family Medicine LLC

220 mi

Family Medicine

6948 TYLERSVILLE RD
West Chester, OH 45069

Reassigned Medicare billing, Ohio enrollment
2 clinicians in this Medicare group

NPI 1427845668 (929) 234-9711

Community Care Health Network LLC

473 mi

Nurse Practitioner

424 CHURCH ST STE 220
Nashville, TN 37219

Reassigned Medicare billing, Ohio enrollment
271 clinicians in this Medicare group

NPI 1619368842 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

72 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services66 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

61 services61 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services46 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA C COLE

Nurse Practitioner (Family)