Individual provider Active NPI

John A Yousef Sr., MSN/FNP/CNP

  • Family Nurse Practitioner
  • Rocky River, OH
National Provider Identifier
1407135023
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
323620-COA 16282-NP Issued in OH
Practice address
22841 Hilliard Blvd
Rocky River, OH 44116-3058
Phone
(216) 407-3444
Fax
(440) 356-8182
NPI assigned
Aug 12, 2011
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 323620-COA 16282-NP OH Primary
Registered Nurse 163W00000X RN-323620 OH

Addresses

Primary practice location

22841 Hilliard Blvd
Rocky River, OH 44116-3058

Mailing address

22841 Hilliard Blvd
Rocky River, OH 44116-3058
Phone (216) 407-3444

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
I20141222002005 OH Practitioner - Nurse Practitioner 4789805458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-323620OHMDRegistered Nurse
323620-COA 16282-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Nov 16, 2014 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Nov 16, 2014 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

Interoperability endpoints

  • Direct secure messaging: jyousef24628@direct.metrohealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1407135023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22841 HILLIARD BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163058",
            "telephone_number": "216-407-3444",
            "fax_number": "440-356-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22841 HILLIARD BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163058",
            "telephone_number": "216-407-3444",
            "fax_number": "440-356-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSN/FNP/CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "323620-COA 16282-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-323620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.