Individual provider Active NPI

Joanne Kathleen Bickerton

  • Adult Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1205210598
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.17741-NP Issued in OH
Practice address
3025 Science Park Dr
Beachwood, OH 44122-7333
Phone
(216) 445-6400
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.17741-NP OH Primary

Addresses

Primary practice location

3025 Science Park Dr
Beachwood, OH 44122-7333

Mailing address

3025 Science Park Dr
Beachwood, OH 44122-7333
Phone (440) 341-8767

Other names 1

  • Joanne Kathleen Stegmaier Former name

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
I20150824001643 OH Practitioner - Nurse Practitioner 2062728850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17741-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Dec 9, 2019 Accepting new patients

Locations

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

15800 Detroit Ave
Ste A
Lakewood, OH 44107
Phone (216) 226-8700

14601 Detroit Ave
Ste 400
Lakewood, OH 44107
Phone (216) 226-8700

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1205210598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SCIENCE PARK DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227333",
            "telephone_number": "440-341-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SCIENCE PARK DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227333",
            "telephone_number": "216-445-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKERTON",
        "first_name": "JOANNE",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.17741-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "STEGMAIER",
            "middle_name": "KATHLEEN",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.