Jacob Gruttadauria

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.020134 Issued in OH

Practice address

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000

Phone

(440) 879-1108

NPI assigned

Nov 4, 2016

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nurse Practitioner Health Services LLCGroup PAC ID 4880840115, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Hospice Cleveland LLC Hospice, Independence, OH, CCN 361726

Merit-based Incentive Payment System (MIPS)

Final score

24.95 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

83.17

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Nurse Practitioner Health Services, LLC

  dba Provider Health Group LLC

  • Primary Care Nurse Practitioner
  • Strongsville, OH
  • NPI 1104181338
  Medicare reassignment Care Compare group NPD
• Mycare Clinic LLC

  • Nurse Practitioner
  • Strongsville, OH
  • NPI 1124488705
  NPD (past)

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

• Suncrest Hospice Cleveland LLC

  • Community Based Hospice Care Agency
  • Independence, OH
  • NPI 1710644489
  Care Compare affiliation

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1043762248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUTTADAURIA",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Cleveland Psychological Services, Inc.
• Karen Grecol
• Gregory L. Wiemken, DPM, Inc.
• John E. Grimm, PHD
• Mackenzie Grimm
• Diane Renee Guagenti
• Chakradhar Guduguntla, DDS
• Maryeri Gudz, RBT
• Nicole Tecla Guinter, CNP
• Danette Gunkelman

• Family Nurse Practitioner in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.