Individual provider Active NPI

Stephanie Gale Winterer, C.N.P.

  • Adult Health Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1326349788
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.12216 Issued in OH
Practice address
8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone
(440) 205-1529
Fax
(440) 205-0840
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 348953 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.12216 OH Primary

Addresses

Primary practice location

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251

Mailing address

660 Chagrin River Rd
Gates Mills, OH 44040-9654
Phone (440) 477-9428

Other practice location 1

9360 Metcalf Rd
Waite Hill, OH 44094-9767
Phone (440) 477-9428

Other names 1

  • Stephanie Diane Gale Other name

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
I20190827001445 OH Practitioner - Nurse Practitioner 0547598765 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348953OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc CurrentSince Jul 31, 2019 Accepting new patients
Lake Hospital System, Inc CurrentSince Jul 31, 2019 Accepting new patients

Locations

8300 Tyler Blvd
Ste 300
Mentor, OH 44060
Phone (440) 205-1529

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1326349788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CHAGRIN RIVER RD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409654",
            "telephone_number": "440-477-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-205-1529",
            "fax_number": "440-205-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9360 Metcalf Rd",
            "address_purpose": "LOCATION",
            "city": "Waite Hill",
            "state": "OH",
            "postal_code": "440949767",
            "country_code": "US",
            "telephone_number": "440-477-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERER",
        "first_name": "STEPHANIE",
        "middle_name": "GALE",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "348953",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.12216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GALE",
            "middle_name": "DIANE",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.