RITENOUR MEDICAL LLC
NPI 1780226092
Clinic/Center - Primary Care in Mansfield, OH

Active since October 09, 2019CLIA 36D2199411 · Waiver
380 CLINE AVE STE 1, MANSFIELD, OH 44907(419) 571-5290(419) 522-0998 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2023, Oct 9, 2019 (2 updates tracked since 2019).

About Ritenour Medical Llc NPPES

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

RITENOUR MEDICAL LLC (NPI 1780226092) is a healthcare organization registered as a primary care in Mansfield, Ohio and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Paul E Ritenour, Owner, as its authorized official.

NPPES Registry Identity

NPI1780226092
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRITENOUR MEDICAL LLC
Location Address380 CLINE AVE STE 1Mansfield, OH 44907-1056
Mailing Address380 Cline Ave Ste 1Mansfield, OH 44907-1056 · (419) 571-5290 · Fax (419) 522-0998
Fax(419) 522-0998
Organization SubpartNo
Authorized OfficialPaul E RitenourOwner · (419) 571-5290
Enumeration DateOctober 9, 2019
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1780226092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
380 CLINE AVE STE 1, Mansfield, OH 44907

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ritenour Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ritenour Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1609284165
380 CLINE AVE STE 1
Mansfield, OH 44907
(567) 474-6302
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164847836
418 E. MAIN STREET
Ashland, OH 44805
(419) 281-0525
✔ PECOS✔ Accepts Medicare14 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2199411

Ritenour Medical · Mansfield, OH
Active · expires Nov 8, 2026
CLIA Number36D2199411
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorPaul E. Ritenour
Laboratory Phone(419) 571-5290
Laboratory LocationRitenour Medical380 Cline Ave Suite 1, Mansfield, OH 44907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ritenour Medical LLC's NPI number?

The NPI number for Ritenour Medical LLC is 1780226092. It was assigned to this organization in the NPPES registry on October 9, 2019.

Where is Ritenour Medical LLC located?

Ritenour Medical LLC is located at 380 Cline Ave Ste 1, Mansfield, OH 44907. The listed phone number is (419) 571-5290.

What is Ritenour Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Ritenour Medical LLC enrolled in Medicare?

Yes. Ritenour Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ritenour Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ritenour Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ritenour Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2199411) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ritenour Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Ritenour Medical LLC 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 Ritenour Medical LLC was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.