Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Rena Mammoo

Individual provider Nurse Practitioner · NPI 1619352168

Rena Mammoo is a Nurse Practitioner in Chagrin Falls, Ohio. Qualified in 2014, 12 years ago. Practices with Minuteclinic Diagnostic of Ohio LLC, a 191-clinician group and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
12
Licensed in
IL, OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

16801 Chillicothe Rd
Chagrin Falls, OH 44023-4618
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0030086 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 209013051 (IL)

Record details

NPI number1619352168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2015
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Minuteclinic Diagnostic Of Ohio Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients175
Services billed 329 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Minuteclinic Diagnostic of Ohio LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 191 clinicians in the practice; 12 are shown here.

Other providers in Chagrin Falls