Maria Petty, NURSE PRACTITIONER
Maria Petty, NURSE PRACTITIONER is a Primary Care Nurse Practitioner in Willoughby, OH, registered under NPI 1114204419. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 35000 KAISER CT, Willoughby, OH 44094. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| NP020610 | OH | Primary Care Nurse Practitioner primary |
| 004979 | CT | Gerontology Nurse Practitioner |
| RN2290435 | MA | Gerontology Nurse Practitioner |
Licences are recorded in 3 states: OH, CT, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Order And Referring Only - Nurse Practitioner
- PAC ID
- 2365609195
- Enrollment ID
- I20221220001826
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Connecticut, Massachusetts and Ohio. The practice address on file is in Willoughby, OH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- RN2290435
- Specialty
- Gerontology Nurse Practitioner
- Licence
- NP020610
- Specialty
- Primary Care Nurse Practitioner
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Primary Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP2300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | NP020610 | OH | primary |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 004979 | CT | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | RN2290435 | MA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1114204419 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 15, 2011 |
| Last updated | Jul 8, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | NURSE PRACTITIONER |
| Practice address |
35000 KAISER CT Willoughby, OH 44094 (440) 269-4600 Fax (216) 229-6017 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 2 | 0 | 4 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 4 | 0 | 8 | 4 | 2 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.