Individual provider Active NPI

Olena Alexandra Stetsura, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Strongsville, OH
National Provider Identifier
1417627985
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN.418206 Issued in OH
Practice address
13179 Fairwinds Dr
Strongsville, OH 44136-7945
Phone
(216) 990-6744
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN.418206 OH Primary

Addresses

Primary practice location

13179 Fairwinds Dr
Strongsville, OH 44136-7945

Mailing address

13179 Fairwinds Dr
Strongsville, OH 44136-7945
Phone (216) 990-6744

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
I20220309002545 OH Practitioner - Nurse Practitioner 4486049418 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.418206OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully Psychiatry LLC CurrentSince Aug 30, 2025 Accepting new patients
Chattree and Associates LTD CurrentSince Feb 14, 2022 Accepting new patients

Locations

3690 Orange Pl
Ste 320
Beachwood, OH 44122
Phone (216) 831-1494

463 Ohio Pike
Ste 102B
Cincinnati, OH 45255
Phone (888) 262-3616

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1417627985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13179 FAIRWINDS DR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367945",
            "telephone_number": "216-990-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13179 FAIRWINDS DR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367945",
            "telephone_number": "216-990-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETSURA",
        "first_name": "OLENA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.418206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.