Individual provider Active NPI

Nicole Erin Egle

  • Psychiatric/Mental Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1144830357
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027081 Issued in OH
Practice address
23425 Commerce Park Ste 104
Beachwood, OH 44122-5848
Phone
(216) 831-2900
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0027081 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027081 OH Primary

Addresses

Primary practice location

23425 Commerce Park Ste 104
Beachwood, OH 44122-5848

Mailing address

7574 Partridge Meadows Dr E
Hudson, OH 44236-1359
Phone (216) 632-2090

Other practice location 1

7574 Partridge Meadows Dr E
Hudson, OH 44236-1359
Phone (216) 632-2090

Other names 1

  • Mrs. Nicole Erin Egle Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0027081OHMDFamily Nurse Practitioner
APRN.CNP.0027081OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Debalzo Elgudin Levine Risen LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

23425 Commerce Park
Ste 104
Beachwood, OH 44122
Phone (216) 831-2900

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1144830357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7574 PARTRIDGE MEADOWS DR E",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361359",
            "telephone_number": "216-632-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23425 COMMERCE PARK STE 104",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225848",
            "telephone_number": "216-831-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7574 Partridge Meadows Dr E",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442361359",
            "country_code": "US",
            "telephone_number": "216-632-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGLE",
        "first_name": "NICOLE",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027081",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "EGLE",
            "middle_name": "ERIN",
            "prefix": "MRS.",
            "credential": "APRN-CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.