Active NPI
Nurse Practitioner Health Services, LLC
- Primary Care Nurse Practitioner
- Strongsville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- COA.10757-NP
- Legal business name
- NURSE PRACTITIONER HEALTH SERVICES, LLC
- Practice address
- 15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000 - Phone
- (440) 879-1108
- Fax
- (440) 334-5403
- NPI assigned
- Jul 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Petrick
- Title
- Owner
- Phone
- (440) 879-1108
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | COA.10757-NP | OH | Primary |
Addresses
Primary practice location
15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000
Mailing address
15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000
Phone (440) 879-1108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068112 | Medicaid | OH |
Other names 1
- Provider Health Group LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120802000017 | OH | Part B Supplier - Clinic/Group Practice | 4880840115 | Receives reassigned benefits from 24 practitioners |
National Provider Directory
National Provider DirectoryLocations
545 W Moonglo Rd
#C
Scottsburg, IN 47170
Phone (812) 752-3499
6 E Park Cir
Brook Park, OH 44142
Phone (216) 267-7067
4102 Rocky River Dr
Cleveland, OH 44135
Phone (216) 251-3300
23225 Lorain Rd
North Olmsted, OH 44070
Phone (440) 779-6900
5400 Meadow Lane Ct
Sheffield Village, OH 44035
15400 Pearl Rd
Ste 250
Strongsville, OH 44136
15400 Pearl Rd
Strongsville, OH 44136
15400 Pearl Rd
Ste 238
Strongsville, OH 44136
Phone (440) 879-1258
7820 Pleasantville Rd NE
Thornville, OH 43076
Phone (740) 536-7381
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Strongsville, OH
- NPI 1497402176
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1104181338",
"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": "440-879-1108",
"fax_number": "440-334-5403"
},
{
"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",
"fax_number": "440-334-5403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONER HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-13",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "PETRICK",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-879-1108"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "COA.10757-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068112",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Provider Health Group LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.