Individual provider Active NPI

Jessica N Angell, NP-C

  • Adult Health Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1033407028
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.12438-NP Issued in OH
Practice address
850 Columbia Rd Ste 200
Westlake, OH 44145-7215
Phone
(440) 808-1212
Fax
(440) 808-2060
NPI assigned
Jul 12, 2011
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.12438-NP OH Primary

Addresses

Primary practice location

850 Columbia Rd Ste 200
Westlake, OH 44145-7215

Mailing address

850 Columbia Rd Ste 200
Westlake, OH 44145-7215
Phone (440) 808-1212

Other practice location 1

7580 Northcliff Ave Ste 1000
Brooklyn, OH 44144-3271
Phone (144) 080-8121

Other identifiers 2

IdentifierTypeStateIssuer
Q00545247OtherOHMEDICARE RAILROAD
0051781MedicaidOH

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
I20110831000648 OH Practitioner - Nurse Practitioner 5698945533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Gastroenterology, Inc.Group PAC ID 3072409382, 24 clinicians

Practice addresses (Care Compare)

850 Columbia Rd
Suite 200
Westlake, OH 44145-7215
Phone (440) 808-1212

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pathology LLC CurrentSince Aug 15, 2023 Accepting new patients
North Shore Endoscopy Center Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jul 21, 2011 Accepting new patients
North Shore Gastroenterology, Inc. CurrentSince Jan 1, 2018 Accepting new patients

Locations

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

7580 Northcliff Ave
Ste 1000
Cleveland, OH 44144

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
#3
Cleveland, OH 44195
Phone (216) 444-1130

835 Sharon Dr
Ste 250
Westlake, OH 44145

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

850 Columbia Rd
Ste 200
Westlake, OH 44145

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1033407028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457215",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457215",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7580 Northcliff Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443271",
            "country_code": "US",
            "telephone_number": "144-080-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.12438-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "Q00545247",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.