Individual provider Active NPI

Rene Fitzpatrick, CNP

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1235890476
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029788 Issued in OH
Practice address
23214 Ranch Rd
Beachwood, OH 44122-1565
Phone
(216) 356-6550
NPI assigned
Jan 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029788 OH Primary

Addresses

Primary practice location

23214 Ranch Rd
Beachwood, OH 44122-1565

Mailing address

PO Box 1086
Willoughby, OH 44096-1086
Phone (216) 645-7242

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
I20220209000803 OH Practitioner - Nurse Practitioner 8224421599 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated Current Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Jan 30, 2023 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Jan 30, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
Primus Wound Care Inc PastSince Nov 1, 2021 Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients

Locations

11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004

3569 Ridge Rd
Cleveland, OH 44102

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

3466 Saint Roccos Ct
Ste 2
Cleveland, OH 44109

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: rfitzpatrick606690@direct.ochin.org
  • Direct secure messaging: rfitzpatrick243317@direct.metrohealth.org

Organizations & group practices 10

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": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1235890476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440961086",
            "telephone_number": "216-645-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23214 RANCH RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221565",
            "telephone_number": "216-356-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "RENE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.