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

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: August 16, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Family)
6005 SOM CENTER RD
WILLOUGHBY, OH 44094
Nurse Practitioner (Family)
6005 SOM CENTER RD
WILLOUGHBY, OH 44094
Pharmacist
6005 SOM CENTER RD
WILLOUGHBY, OH 44094
Pharmacist
6005 SOM CENTER RD
WILLOUGHBY, OH 44094
Nurse Practitioner (Family)
6005 SOM CENTER RD
WILLOUGHBY, OH 44094
Nurse Practitioner (Family)
6005 SOM CENTER RD
WILLOUGHBY, OH 44094
Nurse Practitioner (Family)
6005 SOM CENTER RD
WILLOUGHBY, OH 44094
Nurse Practitioner (Family)
6005 SOM CENTER RD
WILLOUGHBY, OH 44094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Stephanie Wallingford located?

Stephanie Wallingford practices at 6005 Som Center Rd, Willoughby, OH 44094. The listed phone number is (440) 946-7252.

What is Stephanie Wallingford's specialty?

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

Is Stephanie Wallingford enrolled in Medicare?

Yes. Stephanie Wallingford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Wallingford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource list Stephanie Wallingford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Wallingford was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.