Nurse Practitioner Health Services, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

COA.10757-NP Issued in OH

Legal business name

NURSE PRACTITIONER HEALTH SERVICES, LLC

Doing business as

Provider Health Group 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

Last updated

Mar 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel PetrickNPI 1740418060

Title

Owner

Phone

(440) 879-1108

Specialties & licenses 1

Addresses

Other names 1

• Provider Health Group LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Elizabeth Petrick, N.P.

  • Adult Health Nurse Practitioner
  • Strongsville, OH
  • NPI 1740418060
  Medicare reassignment Care Compare group NPD Authorized official
• Chelsea L Ball, CNP

  • Family Nurse Practitioner
  • Strongsville, OH
  • NPI 1447065891
  Medicare reassignment Care Compare group NPD
• Jayantilal D Bhimani, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1619943388
  Medicare reassignment Care Compare group NPD
• Jacob Gruttadauria

  • Family Nurse Practitioner
  • Strongsville, OH
  • NPI 1043762248
  Medicare reassignment Care Compare group NPD
• Darinka Guenther, FNP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1639706179
  Medicare reassignment Care Compare group NPD
• Michelle Manzeo

  • Adult Health Nurse Practitioner
  • Strongsville, OH
  • NPI 1659158004
  Medicare reassignment Care Compare group NPD
• Cynthia Dawn Marie Moore, RN, MSN, CNP

  • Gerontology Nurse Practitioner
  • Strongsville, OH
  • NPI 1497402176
  Medicare reassignment Care Compare group NPD
• Corrie Nemeth, CNP

  • Adult Health Nurse Practitioner
  • Westlake, OH
  • NPI 1922553254
  Medicare reassignment Care Compare group NPD
• Nicholas J Novisky, CNP

  • Family Nurse Practitioner
  • Strongsville, OH
  • NPI 1902658222
  Medicare reassignment Care Compare group NPD
• Julie O'Connor, CNP

  • Family Nurse Practitioner
  • Parma, OH
  • NPI 1679168066
  Medicare reassignment Care Compare group NPD
• Harikrishna Choudary Ponnam, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1073922316
  Medicare reassignment Care Compare group NPD
• Laxmi Prasana Sakamuri

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1437775129

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provider Health Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Coast Family Dental Care Inc.
• Northern Neurology, Inc.
• Northern Ohio Health and Wellness LLC
• Nicholas J Novisky, CNP
• NPL Homecare, LLC
• Kimberly O'Brien, M.S., M.O.T., OT/L
• Sarah O'Connor, LPN
• Amanda Nichole O'Neill, LPC
• Johanna R O'Neill, MD
• Oasis Counseling Solutions LLC

• Primary Care Nurse Practitioner in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• 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.

Verify at the official NPI Registry.