Individual provider Active NPI

Michele Lyn Prezenkowski, CNP

  • Family Nurse Practitioner
  • Brookpark, OH
National Provider Identifier
1285100115
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023767 Issued in OH
Practice address
14401 Snow Rd
Brookpark, OH 44142-2583
Phone
(216) 898-2229
NPI assigned
Oct 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.023767 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.023767 OH Primary

Addresses

Primary practice location

14401 Snow Rd
Brookpark, OH 44142-2583

Mailing address

7225 Old Oak Blvd.
A210
Middleburg HTS, OH 44130
Phone (440) 816-2761

Other practice location 1

7225 Old Oak Blvd Ste A210
Cleveland, OH 44130-3339
Phone (440) 816-2761

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
I20181210001579 OH Practitioner - Nurse Practitioner 1052655560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 6, 2025 Accepting new patients
Southwest General Medical Group Inc. Family Medicine CurrentSince Nov 15, 2018 Accepting new patients
Southwest General Medical Group Inc CurrentSince Nov 15, 2018 Accepting new patients
Southwest Family Physicians, Inc. Family Medicine Current Accepting new patients
Southwest General Medical Group Inc Family Medicine Current Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

14401 Snow Rd
Cleveland, OH 44142
Phone (216) 265-8744

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130
Phone (440) 816-2761

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 5

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 4

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1285100115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD.",
            "address_2": "A210",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 SNOW RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422583",
            "telephone_number": "216-898-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7225 Old Oak Blvd Ste A210",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441303339",
            "country_code": "US",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREZENKOWSKI",
        "first_name": "MICHELE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.023767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

Verify at the official NPI Registry.