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MARY ALICE THIEL CNP
NPI 1205964038
Nurse Practitioner - Acute Care in Warrensville Heights, OH

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
26110 EMERY RD STE 300, WARRENSVILLE HEIGHTS, OH 44128(440) 368-6868 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 12, 2022, Sep 11, 2019, Nov 19, 2015 (3 updates tracked since 2015).

About Mary Alice Thiel Cnp NPPES

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

MARY ALICE THIEL CNP (NPI 1205964038) is an individual acute care provider in Warrensville Heights, Ohio, licensed in Ohio (APRN.CNP.08370) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205964038
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY ALICE THIELCredential: CNP
Location Address26110 EMERY RD STE 300Warrensville Heights, OH 44128-5788
Mailing Address3544 Pebble Creek CtMason, OH 45040-2058 · (513) 313-8695
Phone(440) 368-6868
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 1, 2007
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1205964038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.08370
26110 EMERY RD STE 300, Warrensville Heights, OH 44128
Open in Google Maps ↗

Other Identifiers 1

Medicaid0092977OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mary Alice Thiel 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 ID4486880861
PECOS Enrollment IDI20131112002110
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 4

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
220 services49 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
55 services16 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
33 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44128 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
11%45 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
39%49 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%76 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
24%21 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,195 services$0.27 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims12 services$53.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DEBORAH MULQUIN-PETERSON NP
Nurse Practitioner (Family)
26110 EMERY RD STE 300
WARRENSVILLE HEIGHTS, OH 44128
Cuyahoga County (440) 368-6868
CECELIA MARIE VEST FNP
Nurse Practitioner (Family)
26110 EMERY RD STE 300
WARRENSVILLE HEIGHTS, OH 44128
Cuyahoga County (440) 368-6868
MS. INEZ E ORTIZ APRN FNP
Nurse Practitioner (Family)
26110 EMERY RD STE 300
WARRENSVILLE HEIGHTS, OH 44128
Cuyahoga County (440) 368-6868
KIMBERLY ONDASH C.P. N.
Nurse Practitioner
26110 EMERY RD STE 300
WARRENSVILLE HEIGHTS, OH 44128
Cuyahoga County (440) 368-6868

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 Mary Thiel's NPI number?

The NPI number for Mary Thiel is 1205964038. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Mary Thiel located?

Mary Thiel practices at 26110 Emery Rd Ste 300, Warrensville Heights, OH 44128. The listed phone number is (440) 368-6868.

What is Mary Thiel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Thiel enrolled in Medicare?

Yes. Mary Thiel 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 Mary Thiel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mary Thiel 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 Mary Thiel was last updated on February 20, 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.