Individual provider Active NPI

Laura Gienke, CNP

  • Family Nurse Practitioner
  • Oberlin, OH
National Provider Identifier
1295186757
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06161945 Issued in OH
Practice address
600 Kendal Dr
Oberlin, OH 44074-1900
Phone
(440) 775-9819
Fax
(440) 775-9854
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Medical Practice LLC 6 clinicians
Hni Medical Services of Ohio, LLC 40 clinicians

Practice addresses (Care Compare)

21851 Ctr Ridge Rd
Suite 109
Rocky River, OH 44116-3901
Phone (440) 331-5488

3364 Kolbe Rd
Lorain, OH 44053-1628
Phone (440) 960-7960

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20161013000444 OH Practitioner - Nurse Practitioner 9638467350 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06161945OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitalist, LLC Family CurrentSince Jul 1, 2020 Accepting new patients
Elite Medical Practice, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

25501 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 545-4800

775 South St
Chardon, OH 44024
Phone (440) 286-8176

3364 Kolbe Rd
Lorain, OH 44053
Phone (440) 282-2244

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

21851 Center Ridge Rd
Ste 109
Rocky River, OH 44116
Phone (440) 331-5488

18627 Shurmer Rd
Strongsville, OH 44136
Phone (440) 238-3361

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06161945 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

600 Kendal Dr
Oberlin, OH 44074-1900

Mailing address

1120 E Broad St
Elyria, OH 44035-6306
Phone (440) 365-2600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295186757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356306",
            "telephone_number": "440-365-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KENDAL DR",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741900",
            "telephone_number": "440-775-9819",
            "fax_number": "440-775-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIENKE",
        "first_name": "LAURA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F06161945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oberlin, OH

Sources for this page

Verify at the official NPI Registry.