Stephanie Pesicek, RN, APRN, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN.CNP.021554 Issued in OH

Practice address

13221 Ravenna Rd
Chardon, OH 44024-9047

Phone

(440) 286-9238

NPI assigned

Aug 22, 2017

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098

Merit-based Incentive Payment System (MIPS)

Final score

91.15 of 100Reported as apm

Quality

82.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spesicek28092@ehrdirect.uhhospitals.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.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment Care Compare group NPD
• University Primary Care Practices Inc

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098
  NPD
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)

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

• Lake Hospital System Inc

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1215454160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 FERNWOOD CT",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440776157",
            "telephone_number": "330-646-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249047",
            "telephone_number": "440-286-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESICEK",
        "first_name": "STEPHANIE",
        "credential": "RN, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.021554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephaniepesicek@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13221 Ravenna Rd",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440249047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Perisa, MD
• Jeanine Perkins, M.ED
• Cynthia L. Perrino, R.D.
• Candace Perry, LPN
• Maria Perusek, ED.S.
• Alexa Nicole Peters
• Lynn Marie Peterson
• Rebecca Petrey
• Renee Petro
• Latia E Phillips-Bey

• Women's Health Nurse Practitioner in Chardon, OH
• Providers in Chardon, OH by specialty
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.