Individual provider Active NPI

Cristine L Fruits, PA

  • Medical Physician Assistant
  • Olmsted TWP, OH
National Provider Identifier
1437459070
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.003177RX Issued in OH
Practice address
27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone
(440) 234-4700
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 50003177 OH
Medical Physician Assistant 363AM0700X 50.003177RX OH Primary

Addresses

Primary practice location

27089 Bagley Rd
Olmsted TWP, OH 44138-1103

Mailing address

27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700

Other names 1

  • Cristine L Rozelle Former name

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
I20110119000265 OH Practitioner - Physician Assistant 1153500459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

19895 Detroit Rd
Rocky River, OH 44116-1815
Phone (440) 356-5500

27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700

3574 Ctr Rd
Brunswick, OH 44212-3618
Phone (330) 225-8886

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50003177OHMDIntermediate Emergency Medical Technician
50.003177RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Jun 23, 2024 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Sep 1, 2015 Accepting new patients

Locations

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

27089 Bagley Rd
Olmsted Twp, OH 44138
Phone (440) 234-4700

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1437459070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27089 BAGLEY RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381103",
            "telephone_number": "440-234-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27089 BAGLEY RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381103",
            "telephone_number": "440-234-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUITS",
        "first_name": "CRISTINE",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "OH",
            "license": "50003177",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003177RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINE",
            "last_name": "ROZELLE",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olmsted TWP, OH

Sources for this page

Verify at the official NPI Registry.