Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark David Staats, CNP

Individual provider Nurse Practitioner · NPI 1912423914

Mark David Staats, CNP is a Nurse Practitioner in Beachwood, Ohio. Qualified in 2017, 9 years ago. Practices with Partners Physician Group, a 415-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone: (216) 593-5800
Fax: (216) 593-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.021564 (OH)

Record details

NPI number1912423914
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 21, 2017
Last updated in NPPESAugust 21, 2017
Mailing address3186 Wexford Blvd, Stow, OH 44224-2860

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Partners Physician Group — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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