Active NPI
Angela Veronica Exergian
- Family Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1245833862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 026615
- Practice address
- 18101 Lorain Ave
Cleveland, OH 44111-5612 - Phone
- (216) 476-7000
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 026615 | OH | Primary |
Addresses
Primary practice location
18101 Lorain Ave
Cleveland, OH 44111-5612
Mailing address
22755 Hilliard Blvd
Rocky River, OH 44116-3056
Phone (216) 469-3814
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026615 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1932386059
-
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1821101809
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1245833862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22755 HILLIARD BLVD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163056",
"telephone_number": "216-469-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 LORAIN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXERGIAN",
"first_name": "ANGELA",
"middle_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "026615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.