Cristina Dawn Ilijevski, APRN-CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.0032590 Issued in OH

Practice address

4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645

Phone

(330) 754-4431

Fax

(330) 244-8839

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

97.74 of 100Reported as group

Quality

80.95

Improvement activities

40

Cost

84.55

Merit-based Incentive Payment System (MIPS)

Final score

90.8 of 100Reported as group

Quality

63.89

Promoting interoperability

99

Improvement activities

40

Cost

72.93

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cilijevskicnp@starkmedical.medentdirect.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: cristina.herrington@direct.aultman.org

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.

• Pinnacle Care Providers, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1578799417

  Gerontology

  Medicare reassignment NPD
• Skill Doc 101, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1043647803
  Medicare reassignment NPD
• Stark Medical Specialties, Inc

  • Internal Medicine Physician
  • Massillon, OH
  • NPI 1477573772
  Medicare reassignment NPD
• Serenity Medical Aesthetics LLC

  • Pain Medicine Physician
  • Canton, OH
  • NPI 1558183020
  NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1154023315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 STEPHENS CIR NW STE 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183645",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 STEPHENS CIR NW STE 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183645",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIJEVSKI",
        "first_name": "CRISTINA",
        "middle_name": "DAWN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0032590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cristina.herrington@direct.aultman.org",
            "affiliation": "Y",
            "affiliationName": "aultman hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ican Inc.
• Rachel Ice, RN
• Ideal Vision LLC
• Philip H Iffland, D.D.S.
• James E Ijoma, CSP
• Imprinting LLC
• Individual
• Individual
• Amy Indorf, MD
• Infusion Partners, LLC

• Gerontology Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.

Verify at the official NPI Registry.