Active NPI
Nicole M Gleussner, CNM
- Midwife
- Poland, OH
National Provider Identifier
1073227369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- APRN.CNM.0019552
- Practice address
- 7067 Tiffany Blvd Ste 220
Poland, OH 44514-1981 - Phone
- (330) 758-2041
- Fax
- (330) 758-2042
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | APRN.CNM.0019552 | OH | Primary |
Addresses
Primary practice location
7067 Tiffany Blvd Ste 220
Poland, OH 44514-1981
Mailing address
PO Box 14577
Poland, OH 44514-7577
Phone (330) 758-2041
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | obgyn2041@Yahoo.com | Direct |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Cincinnati College of Medicine and Surgery, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7067 Tiffany Blvd
Suite 220
Poland, OH 44514-1981
Phone (330) 758-2041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babitha Nalluri MD LTD | Current | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
7067 Tiffany Blvd
Ste 220
Youngstown, OH 44514
Phone (330) 758-2041
7067 Tiffany Blvd
Youngstown, OH 44514
Phone (330) 726-7411
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Poland, OH
- NPI 1669661880
-
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1073227369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14577",
"city": "POLAND",
"state": "OH",
"postal_code": "445147577",
"telephone_number": "330-758-2041",
"fax_number": "330-758-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7067 TIFFANY BLVD STE 220",
"city": "POLAND",
"state": "OH",
"postal_code": "445141981",
"telephone_number": "330-758-2041",
"fax_number": "330-758-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEUSSNER",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OH",
"license": "APRN.CNM.0019552",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "obgyn2041@Yahoo.com",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7067 Tiffany Blvd Ste 220",
"city": "Poland",
"state": "OH",
"country_code": "US",
"postal_code": "445141981",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.