Active NPI
Jacquelyn M Gill, CNP
- Acute Care Nurse Practitioner
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- COA.12510-NP
- Practice address
- 9500 Euclid Ave # E1-001
Cleveland, OH 44195-2433 - Phone
- (216) 444-8486
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA.12510-NP | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave # E1-001
Cleveland, OH 44195-2433
Mailing address
190 Chester Ave
Wadsworth, OH 44281-8363
Other practice location 1
400 Wabash Ave
Suite 9004
Akron, OH 44307-2433
Phone (330) 344-5995
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Akron General Ave
Akron, OH 44307-2432
18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
- Akron General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.12510-NP | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
9500 Euclid Ave
#E1001
Cleveland, OH 44195
Phone (216) 444-8486
3600 W Market St
Ste 102
Fairlawn, OH 44333
Phone (330) 436-0950
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Interoperability endpoints
- jgill421793@direct.ccf.org
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1285915702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 CHESTER AVE",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE # E1-001",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441952433",
"telephone_number": "216-444-8486"
}
],
"practiceLocations": [
{
"address_1": "400 Wabash Ave",
"address_2": "Suite 9004",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443072433",
"country_code": "US",
"telephone_number": "330-344-5995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "JACQUELYN",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA.12510-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.