Active NPI
Amanda Cafarelli De Leon
- Nurse Practitioner
- Berea, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG0315112
- Practice address
- 563 W Bagley Rd
Berea, OH 44017-1328 - Phone
- (440) 234-8455
- NPI assigned
- Apr 17, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AG0315112 | OH | Primary |
Addresses
Primary practice location
563 W Bagley Rd
Berea, OH 44017-1328
Mailing address
563 W Bagley Rd
Berea, OH 44017-1328
Phone (440) 234-0502
Other names 1
- Amanda Marie Cafarelli
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500
Hospital & facility affiliations
- University Hospitals - Elyria Medical Center
- Uh St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG0315112 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Emh Regional Medical Center | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Emh Regional Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Emh Regional Medical Center | Current | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Past | Accepting new patients |
Locations
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
Interoperability endpoints
- adeleon28099@ehrdirect.uhhospitals.org
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- Nurse Practitioner
- Elyria, OH
- NPI 1629422480
-
- Home Health Agency
- Elyria, OH
- NPI 1700886751
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- General Acute Care Hospital
- Westlake, OH
- NPI 1841264868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1134516115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 W BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171328",
"telephone_number": "440-234-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 W BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171328",
"telephone_number": "440-234-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "AMANDA",
"middle_name": "CAFARELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "AG0315112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "CAFARELLI",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.