MRS. MARYBETH KATHLEEN HANNUM APRN-PC
NPI 1720640089
Nurse Practitioner in North Canton, OH

Q: What is Marybeth Hannum's NPI number?

The NPI number for Marybeth Hannum is 1720640089. It was assigned to this individual provider in the NPPES registry on July 7, 2019.

Q: What is Marybeth Hannum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marybeth Hannum was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 07, 2019PECOS Enrolled

6076 WHIPPLE AVE NW, NORTH CANTON, OH 44720(330) 433-1777(330) 305-5001 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2021, Sep 4, 2019, Jul 7, 2019 (3 updates tracked since 2019).

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About Mrs. Marybeth Kathleen Hannum Aprn-pc NPPES

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

MRS. MARYBETH KATHLEEN HANNUM APRN-PC (NPI 1720640089) is an individual nurse practitioner in North Canton, Ohio, licensed in Ohio (.025045) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720640089

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARYBETH KATHLEEN HANNUMCredential: APRN-PC

Location Address6076 WHIPPLE AVE NWNorth Canton, OH 44720-7616

Mailing Address6076 Whipple Ave NwNorth Canton, OH 44720-7616 · (330) 433-1777

Phone(330) 433-1777

Fax(330) 305-5001

Sole ProprietorNo

Enumeration DateJuly 7, 2019

Last NPPES UpdateFebruary 23, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2021

✔ NPI 1720640089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · .025045

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License .025045 (OH)

6076 WHIPPLE AVE NW, North Canton, OH 44720

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, SummaCare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marybeth Kathleen Hannum Aprn-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44720 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 8

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

TAYLER RAE SCHEMBECHLER NP

Nurse Practitioner (Pediatrics)

6076 WHIPPLE AVE NW
CANTON, OH 44720

Stark County (330) 305-5001

KATHLEEN MELLODY CNP

Pediatrics