Individual provider Active NPI

Lauren Jolley, CNP

  • Nurse Practitioner
  • Shaker Heights, OH
National Provider Identifier
1437607991
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
019858 Issued in OH
Practice address
18720 Chagrin Blvd
Shaker Heights, OH 44122-4855
Phone
(216) 295-7003
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 019858 OH Primary

Addresses

Primary practice location

18720 Chagrin Blvd
Shaker Heights, OH 44122-4855

Mailing address

21245 Lorain Rd Ste 206
Fairview Park, OH 44126-2140

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
I20161123001913 OH Practitioner - Nurse Practitioner 3870872385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CDC Physicians Organization, Inc.Group PAC ID 8426140187, 9 clinicians

Practice addresses (Care Compare)

21245 Lorain Rd
Suite 206
Fairview Park, OH 44126-2140
Phone (440) 331-4294

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
Quality
73.98
Promoting interoperability
100
Improvement activities
40
Cost
69.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019858OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CDC Physicians Organization, Inc. CurrentSince Sep 19, 2016 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

21245 Lorain Rd
Ste 206
Fairview Park, OH 44126
Phone (440) 331-4294

18720 Chagrin Blvd
Shaker Heights, OH 44122
Phone (216) 295-7003

Interoperability endpoints

  • Direct secure messaging: lbodnar398809@direct.ccf.org

Organizations & group practices 2

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1437607991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD STE 206",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18720 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224855",
            "telephone_number": "216-295-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "LAUREN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "019858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.