Individual provider Active NPI

Chunyan McElroy

  • Gerontology Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1053943134
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRNCNP025919 Issued in OH
Practice address
25200 Chagrin Blvd Ste 300
Beachwood, OH 44122-5684
Phone
(216) 383-2834
Fax
(216) 383-2923
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG0919006 OH
Gerontology Nurse Practitioner 363LG0600X APRNCNP025919 OH Primary

Addresses

Primary practice location

25200 Chagrin Blvd Ste 300
Beachwood, OH 44122-5684

Mailing address

25200 Chagrin Blvd Ste 300
Beachwood, OH 44122-5684
Phone (216) 383-2834

Other practice location 1

16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300
Phone (440) 826-0500

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
I20211015002132 OH Practitioner - Nurse Practitioner 1557769957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proxy Healthcare LLCGroup PAC ID 6507399524, 15 clinicians

Practice addresses (Care Compare)

3570 Executive Dr
Suite 110
Uniontown, OH 44685-8712
Phone (330) 696-9430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG0919006OHMDGerontology Nurse Practitioner
APRNCNP025919OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Oct 29, 2021 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC Current Accepting new patients
Dr Miodrag Zivic LLC CurrentSince Mar 1, 2025 Accepting new patients
Theoria Medical CurrentSince Dec 22, 2024 Accepting new patients
Vpa PC CurrentSince Oct 29, 2021 Accepting new patients
Community Care Health Network LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

36 Lehman Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2273

25200 Chagrin Blvd
Ste 300
Cleveland, OH 44122
Phone (216) 383-2834

99 Northline Cir
Ste 215
Euclid, OH 44119
Phone (216) 383-2834

6831 Chapel Rd
Madison, OH 44057
Phone (440) 428-5103

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130
Phone (440) 826-0500

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1053943134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225684",
            "telephone_number": "216-383-2834",
            "fax_number": "216-383-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225684",
            "telephone_number": "216-383-2834",
            "fax_number": "216-383-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16600 W Sprague Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441306300",
            "country_code": "US",
            "telephone_number": "440-826-0500",
            "fax_number": "440-826-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "CHUNYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "AG0919006",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRNCNP025919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.