| Mrs Stephanie Marie Rivera, MSN, APRN, FNP-C | |
| 
					6780 Mayfield Rd, Mayfield Heights, OH 44124-2203  | |
| (216) 476-7000 | |
| Not Available | 
| Full Name | Mrs Stephanie Marie Rivera | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 6780 Mayfield Rd, Mayfield Heights, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013668565 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.429442 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | F01220843 (Ohio) | Primary | 
| Entity Name | Fairview Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407953706 PECOS PAC ID: 4688571730 Enrollment ID: O20031216000909  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Stephanie Marie Rivera, MSN, APRN, FNP-C 510 Locklie Dr, Highland Heights, OH 44143-1547 Ph: (440) 220-2666  | Mrs Stephanie Marie Rivera, MSN, APRN, FNP-C 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 Ph: (216) 476-7000  | 
Jennifer K Mackey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6770 Mayfield Rd # 421, Hc40, Mayfield Heights, OH 44124 Phone: 440-312-7689 Fax: 440-449-7715  | |
Allison Jindra, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-4500  | |
Ashley Lynn Decapua, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 Golden Gate Plz, Mayfield Heights, OH 44124 Phone: 440-499-4076  | |
Michelle Eileen Horky, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1677 Longwood Dr, Mayfield Heights, OH 44124 Phone: 440-487-0525  | |
Kelly Fortuna, RN, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1295 Ranchland Dr, Mayfield Heights, OH 44124 Phone: 216-386-0106  | |
Bailey Jean Ingham, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-4500  | |
Erica Susanne Majernik, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-4500  |