Individual provider Active NPI

Elissa Eichler, FNP

  • Family Nurse Practitioner
  • Parma Heights, OH
National Provider Identifier
1255813804
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023510 Issued in OH
Practice address
6975 W 130TH St
Parma Heights, OH 44130-7821
Phone
(440) 888-7487
Fax
(440) 345-5151
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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.023510 OH Primary

Addresses

Primary practice location

6975 W 130TH St
Parma Heights, OH 44130-7821

Mailing address

6975 W 130TH St
Parma Heights, OH 44130-7821
Phone (440) 888-7487

Other identifiers 1

IdentifierTypeStateIssuer
2879461MedicaidOH

Other names 1

  • Elissa Eichler Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240827004751 DC Practitioner - Nurse Practitioner 5193064004 Reassigns benefits to 1 organization
I20240909002963 VA Practitioner - Nurse Practitioner 5193064004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Health Navigation LLCGroup PAC ID 5294960696, 57 clinicians

Practice addresses (Care Compare)

1951 Kidwell Dr
Suite 101
Vienna, VA 22182-3930
Phone (702) 848-4443

7200 Glen Forest Dr
Suite 106
Richmond, VA 23226-3768
Phone (804) 495-0053

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Aug 1, 2024 Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

1951 Kidwell Dr
Ste 101
Vienna, VA 22182
Phone (571) 348-4721

Interoperability endpoints

  • Direct secure messaging: elissa.eichler.1@13869.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1255813804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307821",
            "telephone_number": "440-888-7487",
            "fax_number": "440-345-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307821",
            "telephone_number": "440-888-7487",
            "fax_number": "440-345-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHLER",
        "first_name": "ELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879461",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "EICHLER",
            "credential": "FCN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Parma Heights, OH

Sources for this page

Verify at the official NPI Registry.