Individual provider Active NPI

Erica Fontaine Adams

  • Gerontology Nurse Practitioner
  • Warrensville Heights, OH
National Provider Identifier
1295492817
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.022703 Issued in OH
Practice address
20050 Harvard Ave Ste 300
Warrensville Heights, OH 44122-6800
Phone
(216) 751-1212
NPI assigned
Nov 18, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.022703 OH Primary

Addresses

Primary practice location

20050 Harvard Ave Ste 300
Warrensville Heights, OH 44122-6800

Mailing address

PO Box 635416
Cincinnati, OH 45263-5416

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
I20220125002355 OH Practitioner - Nurse Practitioner 6800288895 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
Rajesh Agarwal MD, LLCGroup PAC ID 8224000153, 12 clinicians

Practice addresses (Care Compare)

20050 Harvard Ave
Suite 300
Warrensville Heights, OH 44122-6800
Phone (216) 751-1212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022703OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh Agarwal MD, LLC CurrentSince Feb 28, 2022 Accepting new patients

Locations

20050 Harvard Ave
Ste 300
Warrensville Heights, OH 44122
Phone (216) 751-1212

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1295492817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635416",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE STE 300",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226800",
            "telephone_number": "216-751-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ERICA",
        "middle_name": "FONTAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.022703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.