Individual provider Active NPI

Jaline Wilkes

  • Family Nurse Practitioner
  • East Cleveland, OH
National Provider Identifier
1093175101
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.18835 Issued in OH
Practice address
13944 Euclid Ave
East Cleveland, OH 44112-3804
Phone
(216) 767-4292
Fax
(216) 767-4274
NPI assigned
Mar 2, 2016
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X COA.18835-NP OH
Family Nurse Practitioner 363LF0000X APRN.CNP.18835 OH Primary

Addresses

Primary practice location

13944 Euclid Ave
East Cleveland, OH 44112-3804

Mailing address

13944 Euclid Ave
East Cleveland, OH 44112-3804
Phone (216) 767-4292

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
I20160324001073 OH Practitioner - Nurse Practitioner 9032416789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

13944 Euclid Ave
East Cleveland, OH 44112-3804
Phone (216) 767-4242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.18835-NPOHMDPrimary Care Clinic/Center
APRN.CNP.18835OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jun 7, 2017 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Mar 9, 2016 Accepting new patients
The Metrohealth System CurrentSince Jun 7, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 333-5460

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

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

9500 Euclid Ave
#F20
Cleveland, OH 44195
Phone (216) 444-6568

13944 Euclid Ave
East Cleveland, OH 44112
Phone (216) 431-4131

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

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 3

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1093175101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13944 EUCLID AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441123804",
            "telephone_number": "216-767-4292",
            "fax_number": "216-767-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13944 EUCLID AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441123804",
            "telephone_number": "216-767-4292",
            "fax_number": "216-767-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "JALINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "COA.18835-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

Verify at the official NPI Registry.