Judy Ann Yetzer, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA 11600 NP Issued in OH

Practice address

16712 Pearl Rd
Strongsville, OH 44136-6049

Phone

(440) 238-0360

Fax

(440) 238-8835

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyetzer@dermswohio.emadirect.md

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.

• Dermatologists of Southwestern Ohio, LLC.

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  Medicare reassignment Care Compare group NPD
• Blue Ridge Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
  • NPI 1518945187
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1306152285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD",
            "address_2": "330",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-626-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16712 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366049",
            "telephone_number": "440-238-0360",
            "fax_number": "440-238-8835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36701 American Way Ste 3",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "OH",
            "postal_code": "440114064",
            "country_code": "US",
            "telephone_number": "440-937-4951",
            "fax_number": "440-526-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 Medina Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442569312",
            "country_code": "US",
            "telephone_number": "330-952-2040",
            "fax_number": "330-952-2047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YETZER",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 11600 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Marie Woody, ATC, LAT
• Lisa Ann Wosnak
• Kristen Wotowiec
• Taylor Nicole Wrubel, OD
• Faye Yee, O.D.
• Pamela Jean Young, CNP
• Heather C Youngman, LMT
• Bennett W Yu, M.D.
• Maximillian August Zart, D.C.
• Gina Marie Zazzara, MSSA

• Family Nurse Practitioner in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.

Verify at the official NPI Registry.