Individual provider Active NPI

Michelle Konstantinovsky, CNP

  • Family Nurse Practitioner
  • Brunswick, OH
National Provider Identifier
1174929210
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-16466 Issued in OH
Practice address
4065 Center Rd Ste 220
Brunswick, OH 44212-5325
Phone
(330) 558-0070
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group Inc 2,248 clinicians
University Hospitals Ahuja Medical Center Inc 44 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

Hospital & facility affiliations

  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Metrohealth System Hospital, Cleveland, OH, CCN 360059

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001172 OH Practitioner - Nurse Practitioner 5991028524 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-16466OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Dec 10, 2024 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Jun 13, 2018 Accepting new patients
The Metrohealth System CurrentSince Dec 10, 2024 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Jun 13, 2018 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

11100 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 664-7095

2816 E 116th St
Cleveland, OH 44120
Phone (216) 696-3876

6705 Detroit Ave
Cleveland, OH 44102
Phone (216) 957-4905

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

15500 S Waterloo Rd
Cleveland, OH 44110
Phone (216) 696-3876

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

19999 Rockside Rd
Cleveland, OH 44146
Phone (440) 439-6622

5208 Memphis Ave
Cleveland, OH 44144
Phone (216) 398-0100

11100 Euclid Ave
Cleveland Heights, OH 44106

13263 Cedar Rd
Cleveland Heights, OH 44118
Phone (216) 320-2375

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

Interoperability endpoints

  • Direct secure messaging: mkonstantinovsky33000@ehrdirect.uhhospitals.org
  • Direct secure messaging: mkonstantinovsky294536@direct.metrohealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-16466 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

4065 Center Rd Ste 220
Brunswick, OH 44212-5325

Mailing address

PO Box 638269
Cincinnati, OH 45263-8269

Other names 1

NPPES NPI Registry
  • Michelle Sulzer Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2015.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1174929210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638269",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CENTER RD STE 220",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125325",
            "telephone_number": "330-558-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTINOVSKY",
        "first_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-16466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SULZER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.