MRS. MARY KATHERINE WINFIELD FNP-C
NPI 1497156665
Nurse Practitioner - Family in Painesville, OH

NPI Status: Active since September 08, 2014

Contact Information

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077
Phone: (440) 853-1501

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About MARY WINFIELD

This page provides the complete NPI Profile along with additional information for Mary Winfield, a provider established in Painesville, Ohio with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1497156665 assigned on September 2014. The practitioner's primary taxonomy code is 363LF0000X with license number APRN.CNP.021136 (OH). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1497156665
Provider Name
MRS. MARY KATHERINE WINFIELD FNP-C
Gender
Female
Entity Type
Individual
Location Address
462 CHARDON ST PAINESVILLE, OH 44077
Location Phone
(440) 853-1501
Mailing Address
7601 RAVENNA RD PAINESVILLE, OH 44077
Mailing Phone
(440) 221-8438
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
09-08-2014
Last Update Date
07-21-2022
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A nurse practitioner (NP) like Mary Winfield is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 38882 Mentor Ave
    Willoughby, OH 44094
    (440) 429-3119

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN.CNP.021136
License State
OH

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN296003 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mary Winfield is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF010N)

    Skin barrier; solid, 4 x 4 or equivalent; each (HCPCS:A4362)

    2 DME suppliers used 11 Medicare Claims 220 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, liquid (spray, brush, etc.), per oz (HCPCS:A4369)

    2 DME suppliers used 11 Medicare Claims 22 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, powder, per oz (HCPCS:A4371)

    2 DME suppliers used 11 Medicare Claims 22 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each (HCPCS:A4385)

    2 DME suppliers used 11 Medicare Claims 220 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4407)

    2 DME suppliers used 11 Medicare Claims 220 Services Paid

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA000N)

    Adhesive remover or solvent (for tape, cement or other adhesive), per ounce (HCPCS:A4455)

    2 DME suppliers used 11 Medicare Claims 22 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    1 DME suppliers used 13 Medicare Claims 13 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44077 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MRS. MARY KATHERINE WINFIELD FNP-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497156665
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241872512612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 5 + 1 + 2 + 6 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1497156665 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

SIGNATURE HEALTH INC.

Clinic/Center

(Primary Care)

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

JENNIFER AMBER ACITELLI-STOFAN RN

Registered Nurse

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 953-9999

MEGAN BOSLAND

Case Management

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 953-9999

BLISS KNIGHT

Registered Nurse

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

KELLY L SANDERS

Licensed Practical Nurse

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

STEPHANIE J HISER

Case Manager/Care Coordinator

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

ANGELA VALDEZ

Case Management

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

ROGER J MIZE LISW

Social Worker

(Clinical)

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

JOHN KOZELJ LISW-S

Social Worker

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

MS. GEORGIA ZINSSER SALTZMAN CPNP

Nurse Practitioner

(Pediatrics)

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 853-1501

LISA MARSH

Counselor

(Mental Health)

462 CHARDON ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497156665, enumerated as an "individual" on September 08, 2014.

The provider is located at 462 CHARDON ST PAINESVILLE, OH 44077 and the phone number is (440) 853-1501.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health and. Please consult your insurance carrier or call the provider to verify.