Individual provider Active NPI

Wendy Ann Farinelli-Jones, CRNP

  • Adult Health Nurse Practitioner
  • Bedford, OH
National Provider Identifier
1336263995
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN.241482-COA1 Issued in OH
Practice address
44 Blaine Ave
Bedford, OH 44146-2709
Phone
(440) 735-3647
Fax
(440) 735-3665
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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 RN.241482-COA1 OH Primary
Gerontology Nurse Practitioner 363LG0600X RN.241482-COA1 OH

Addresses

Primary practice location

44 Blaine Ave
Bedford, OH 44146-2709

Mailing address

2554 Pritchard Ohltown Rd SW
Warren, OH 44481-8620
Phone (440) 735-3647

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
I20150923002732 OH Practitioner - Nurse Practitioner 2860538345 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.241482-COA1OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Jul 1, 2015 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Jul 1, 2015 Accepting new patients

Locations

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1336263995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 PRITCHARD OHLTOWN RD SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444818620",
            "telephone_number": "440-735-3647",
            "fax_number": "440-735-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BLAINE AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462709",
            "telephone_number": "440-735-3647",
            "fax_number": "440-735-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINELLI-JONES",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN.241482-COA1",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "RN.241482-COA1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

Verify at the official NPI Registry.