Individual provider Active NPI

Madia Reeves Pewu, NP

  • Family Nurse Practitioner
  • Parma, OH
National Provider Identifier
1417722448
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035590 Issued in OH
Practice address
10399 W Pleasant Valley Rd
Parma, OH 44130-6018
Phone
(216) 777-1977
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035590 OH Primary

Addresses

Primary practice location

10399 W Pleasant Valley Rd
Parma, OH 44130-6018

Mailing address

10399 W Pleasant Valley Rd
Parma, OH 44130-6018
Phone (216) 777-1977

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
I20240508002139 OH Practitioner - Nurse Practitioner 5597106500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10399 W Pleasant Valley Rd
Parma, OH 44130-6018
Phone (216) 777-1977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035590OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trueworth Services LLC Family CurrentSince Mar 19, 2024 Accepting new patients

Locations

5510 Pearl Rd
Ste 205
Parma, OH 44129
Phone (216) 789-6710

10399 W Pleasant Valley Rd
Parma, OH 44130
Phone (216) 612-4437

Organizations & group practices 1

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1417722448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10399 W PLEASANT VALLEY RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441306018",
            "telephone_number": "216-777-1977",
            "fax_number": "216-727-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10399 W PLEASANT VALLEY RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441306018",
            "telephone_number": "216-777-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEWU",
        "first_name": "MADIA",
        "middle_name": "REEVES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.