Individual provider Active NPI

Lee A Niro, CNP

  • Nurse Practitioner
  • Garfield HTS, OH
National Provider Identifier
1023093242
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-03004 Issued in OH
Practice address
12300 McCracken Rd
Garfield HTS, OH 44125-2914
Phone
(216) 581-0500
NPI assigned
Dec 9, 2005
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-03004 OH Primary

Addresses

Primary practice location

12300 McCracken Rd
Garfield HTS, OH 44125-2914

Mailing address

PO Box 73327N
Cleveland, OH 44193-1094
Phone (440) 879-0081

Other identifiers 2

IdentifierTypeStateIssuer
2185826MedicaidOH
000000324167OtherOHANTHEM

Other names 1

  • Lee A Yeskulsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000420 OH Practitioner - Nurse Practitioner 2769656867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-03004OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marymount Hospital Inc CurrentSince Jan 1, 1999 Accepting new patients
Marymount Hospital, Inc. CurrentSince Jan 1, 1999 Accepting new patients

Locations

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1023093242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73327N",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931094",
            "telephone_number": "440-879-0081",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "216-581-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRO",
        "first_name": "LEE",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-03004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2185826",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000324167",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "YESKULSKY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garfield HTS, OH

Sources for this page

Verify at the official NPI Registry.