Active NPI
Olivia Kay Engle
- Family Nurse Practitioner
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0033904
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncUniversity Primary Care Practices IncLake Hospital System, Inc.
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- Orthopaedic Surgery Physician
- Amherst, OH
- NPI 1932953056
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Orthopaedic Surgery Physician
- North Olmsted, OH
- NPI 1184366288
-
- Orthopaedic Surgery Physician
- North Ridgeville, OH
- NPI 1184753469
-
- Orthopaedic Surgery Physician
- Sheffield Village, OH
- NPI 1508307109
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Family Medicine Physician
- Concord Township, OH
- NPI 1316198724
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.