MARK GARRETSON (PMHNP-BC, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1538694617

MARK GARRETSON (PMHNP-BC, APRN) is a healthcare provider. based in Canton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, APRN. They hold a License No. APRN.CNP.022430 (OH). The NPI Number for MARK GARRETSON (PMHNP-BC, APRN) is 1538694617

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MARK GARRETSON (PMHNP-BC, APRN)
NPI
1538694617
Phone
(330) 956-5936
Address
1930 FULTON RD NW # 103
Enumeration Date
26 April 2017
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
0547500324
Group Practice PAC ID
4284969114
Professional Enrollment ID
I20190313002228
Address ID
OH443339204Fa1000XRDXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for MARK GARRETSON (PMHNP-BC, APRN)

  • 103, Fulton Road Northwest, Downtown Canton Arts District, Canton, Stark County, Ohio, 44702, United States

    CANTON, OH 447093526

    Phone: (330) 956-5936

    Fax: (330) 956-5623

    Type: Mailing

  • 1000 S CLEVELAND MASSILLON RD STE 1

    FAIRLAWN, OH 443339204

    Phone: (330) 754-4844

    Fax: (833) 974-2062

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 211 Open Payments records for all available years, with a total value of $6,885.

Total Amount is formed as General ($6,885) + Research ($0) + Ownership ($0) = $6,885.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($1,538).

Total Amount

$6,885

General + Research + Ownership

Payments

211

Total payment records

General Amount

$6,885

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190313002228INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44709)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284969114View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Nurse PractitionerOH
Mental Health CounselorOH
Family Practice, Psychiatry, Psychiatry, Family PracticeOH
Clinical PsychologistOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Where can patients find MARK GARRETSON (PMHNP-BC, APRN)'s NPI?
You can confirm MARK GARRETSON (PMHNP-BC, APRN) with NPI 1538694617; it appears in the national provider directory.
Is MARK GARRETSON (PMHNP-BC, APRN) currently active in the NPI registry?
CMS-published data lists MARK GARRETSON (PMHNP-BC, APRN) as an active registrant.
What kind of provider is MARK GARRETSON (PMHNP-BC, APRN)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MARK GARRETSON (PMHNP-BC, APRN). Clinical services aligned with this taxonomy classification.
Where is MARK GARRETSON (PMHNP-BC, APRN)'s primary listing?
We display Canton, Ohio because that is what the record indicates for MARK GARRETSON (PMHNP-BC, APRN).
What if Canton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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