Individual provider Active NPI

Christine Makovic, APRN

  • Primary Care Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1417665563
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.NP.0032660 Issued in OH
Practice address
29505 Detroit Rd
Westlake, OH 44145-1932
Phone
(440) 871-5181
NPI assigned
Nov 8, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 00042619 OH
Primary Care Nurse Practitioner 363LP2300X APRN.NP.0032660 OH Primary

Addresses

Primary practice location

29505 Detroit Rd
Westlake, OH 44145-1932

Mailing address

29505 Detroit Rd
Westlake, OH 44145-1932
Phone (440) 871-5181

Other identifiers 2

IdentifierTypeStateIssuer
00042619OtherOHOBN
00042619OtherOHAPRN

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
I20221206000430 OH Practitioner - Nurse Practitioner 7012386543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

850 E Midlothian Blvd
Youngstown, OH 44502-2507
Phone (330) 333-8293

Merit-based Incentive Payment System (MIPS)

Final score
26.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00042619OHMDPrimary Care Nurse Practitioner
APRN.NP.0032660OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Pathways Senior Care & Solutions LLC CurrentSince Sep 1, 2026 Accepting new patients
Cura Wounds LLC CurrentSince Feb 1, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

37040 Colorado Ave
Ste 4
Avon, OH 44011
Phone (440) 864-4913

383 Opportunity Way
Lagrange, OH 44050
Phone (440) 335-4616

8151 Norton Pkwy
Mentor, OH 44060
Phone (440) 299-5500

850 E Midlothian Blvd
Youngstown, OH 44502
Phone (330) 333-8293

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1417665563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29505 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451932",
            "telephone_number": "440-871-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29505 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451932",
            "telephone_number": "440-871-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOVIC",
        "first_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "00042619",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.NP.0032660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBN",
            "identifier": "00042619",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "00042619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.