Active NPI
Michelle Konstantinovsky, CNP
- Family Nurse Practitioner
- Brunswick, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-16466
- 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.
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
OH
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Community/Retail Pharmacy
- Beachwood, OH
- NPI 1326522913
-
- Nurse Practitioner
- Beachwood, OH
- NPI 1982088027
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
Hospital
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 IncUniversity Hospitals Ahuja Medical Center Inc
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
- Metrohealth System
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NP-16466 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| University Hospitals Ahuja Medical Center | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| University Hospitals Ahuja Medical Center | Current | Accepting new patients | |
| University Hospitals Ahuja Medical Center, Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | 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
- mkonstantinovsky33000@ehrdirect.uhhospitals.org
- mkonstantinovsky294536@direct.metrohealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-16466 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.