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MARY CANONICO PMHNP-BC
NPI 1811465594
Nurse Practitioner - Psychiatric/Mental Health in Berea, OH

Active since November 11, 2018PECOS EnrolledAccepts Medicare Assignment
202 E BAGLEY RD, BEREA, OH 44017(216) 296-6845 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2019, Nov 17, 2018, Nov 11, 2018 (3 updates tracked since 2018).

About Mary Canonico Pmhnp-bc NPPES

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

MARY CANONICO PMHNP-BC (NPI 1811465594) is an individual psychiatric/mental health provider in Berea, Ohio, licensed in Ohio (023823) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811465594
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY CANONICOCredential: PMHNP-BC
Location Address202 E BAGLEY RDBerea, OH 44017-2058
Mailing Address202 E Bagley RdBerea, OH 44017-2058 · (440) 234-2006
Phone(216) 296-6845
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 11, 2018
Last NPPES UpdateJanuary 30, 20193 updates tracked since enumeration
✔ NPI 1811465594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 023823
202 E BAGLEY RD, Berea, OH 44017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Canonico Pmhnp-bc 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 ID7517292980
PECOS Enrollment IDI20190709000433
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mary Canonico reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohioguidestone
Same address
Developmental - Behavioral Pediatrics
202 E BAGLEY RD
Berea, OH 44017
  • Reassigned Medicare billing, Ohio enrollment
  • 234 clinicians in this Medicare group
NPI 1609123728 (440) 260-8379
Provider Profile
6.9 mi
Clinical
24481 DETROIT RD STE 201
Westlake, OH 44145
  • Reassigned Medicare billing, Ohio enrollment
  • 19 clinicians in this Medicare group
NPI 1326557836 (440) 899-1300
Affiliates In Behavioral Health, LLC
11 mi
Psychologist
6133 ROCKSIDE RD, SUITE 207
Independence, OH 44131
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1093820979 (216) 520-5969
Psychological & Behavioral Consultants, LLC
20 mi
Psychiatry
25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 713 clinicians in this Medicare group
NPI 1811915713 (216) 468-5000
Akron General Medical Center
26 mi
General Acute Care Hospital
1 AKRON GENERAL AVE
Akron, OH 44307
  • Reassigned Medicare billing, Ohio enrollment
  • 161 clinicians in this Medicare group
NPI 1821035940 (330) 344-6000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44017 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 20

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

ASIYA JAWAD
Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-6835
NICOLE ZAROBILA
Counselor
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (800) 234-2006
ERINI POULOS RN
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8300
JOHN MAXWELL MCCARTY
Counselor (Addiction (Substance Use Disorder))
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (216) 502-7982
HORACE JOEL WHITWORTH QMHS MA CMS MA
Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8300
MRS. THERESA MARIA SMITH LISW
Social Worker (Clinical)
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8303
SHARMILA SAMAROO RN
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (444) 260-8327
ALLISON APEL
Counselor (Professional)
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (800) 234-2006

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 Canonico's NPI number?

The NPI number for Mary Canonico is 1811465594. It was assigned to this individual provider in the NPPES registry on November 11, 2018.

Where is Mary Canonico located?

Mary Canonico practices at 202 E Bagley Rd, Berea, OH 44017. The listed phone number is (216) 296-6845.

What is Mary Canonico's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Canonico enrolled in Medicare?

Yes. Mary Canonico 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.

Which organizations bill Medicare for Mary Canonico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Canonico reassigns Medicare benefits to 5 organizations: Ohioguidestone (Berea, OH), (Westlake, OH), Affiliates In Behavioral Health, LLC (Independence, OH), Psychological & Behavioral Consultants, LLC (Beachwood, OH) and Akron General Medical Center (Akron, OH). Each 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 Mary Canonico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Canonico accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Paramount list Mary Canonico 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.

Is Mary Canonico affiliated with any hospitals?

According to CMS data, Mary Canonico is affiliated with Akron General Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Canonico was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.