MS. KIMBERLY MCCRONE WICKERT (NPI# 1134347792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134347792 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY MCCRONE WICKERT |
| Credential | CRC |
| Practice Address |
3917 Stonegate Dr Medina OH 44256-5613 |
| Practice Telephone | 3307227695 |
| Practice Fax Number | 3307224572 |
| Mailing Telephone | 3307227695 |
| Mailing Fax Number | 3307224572 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3917 STONEGATE DR |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876105 | Dennette Kaye Jacoby | Case Manager/Care Coordinator | 1065 Medina Rd, Medina, OH 44256-5375 | 2020-09-18 |
| 1477027290 | Kelsey Janine Vasicek | Case Manager/Care Coordinator | 555 Independence Dr, Medina, OH 44256-2460 | 2019-01-15 |
| 1588173181 | Mary Rose Christina Winters | Case Manager/Care Coordinator | 801 E Washington St Ste 100, Medina, OH 44256-3327 | 2017-09-26 |
| 1326648957 | Victoria Ann Cockrell | Case Manager/Care Coordinator | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2020-11-01 |
| 1710587506 | Dominique Simone Reed | Case Manager/Care Coordinator | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2020-10-29 |
| 1932709367 | Elizabeth Ann Scarbrough | Case Manager/Care Coordinator | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2020-10-26 |
| 1386242188 | Kristen Day | Case Manager/Care Coordinator | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-10-14 |
| 1356949176 | Sarah Ballash | Case Manager/Care Coordinator | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-10-14 |
| 1366055485 | Julia Mae Ehser | Case Manager/Care Coordinator | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2020-08-28 |
| 1669083861 | Shanel Weigand Tilenni | Case Manager/Care Coordinator | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2020-08-11 |
| Find all providers in MEDINA | ||||
Please comment or provide details below to improve the information on MS. KIMBERLY MCCRONE WICKERT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.