Individual provider Active NPI

Olivia Kay Engle

  • Family Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1245922202
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033904 Issued in OH
Practice address
36100 Euclid Ave Ste 120
Willoughby, OH 44094-4426
Phone
(440) 951-8360
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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.0033904 OH Primary

Addresses

Primary practice location

36100 Euclid Ave Ste 120
Willoughby, OH 44094-4426

Mailing address

15834 Munn Rd
Cleveland, OH 44111-2026
Phone (419) 704-0096

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
I20240207003292 OH Practitioner - Nurse Practitioner 8921441817 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group Inc 2,248 clinicians
University Primary Care Practices Inc 1,071 clinicians
Lake Hospital System, Inc. 92 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (216) 844-3800

7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944

7590 Auburn Rd
Concord, OH 44077-9176
Phone (440) 354-1085

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Current Accepting new patients
Lake Hospital System, Inc CurrentSince Dec 19, 2023 Accepting new patients
Lake Hospital System, Inc. CurrentSince Dec 19, 2023 Accepting new patients

Locations

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

36100 Euclid Ave
Ste 120
Willoughby, OH 44094
Phone (216) 951-8360

Interoperability endpoints

  • Direct secure messaging: oengle92386@ehrdirect.uhhospitals.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1245922202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15834 MUNN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112026",
            "telephone_number": "419-704-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE STE 120",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944426",
            "telephone_number": "440-951-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "OLIVIA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.