Active NPI
Madia Reeves Pewu, NP
- Family Nurse Practitioner
- Parma, OH
National Provider Identifier
1417722448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0035590
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0035590 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trueworth Services LLC | Family | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.