Active NPI
Eduard Matsko
- Psychiatric/Mental Health Nurse Practitioner
- Medina, OH
National Provider Identifier
1447084348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0036941
- Practice address
- 3567 Reserve Commons Dr Ste 100
Medina, OH 44256-5344 - Phone
- (330) 801-2942
- NPI assigned
- Sep 2, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0036941 | OH | Primary |
Addresses
Primary practice location
3567 Reserve Commons Dr Ste 100
Medina, OH 44256-5344
Mailing address
1703 David Ave
Parma, OH 44134-6816
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alcove Ventures LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
10603 Detroit Ave
Cleveland, OH 44102
Phone (216) 226-0282
3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250
3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, OH
- NPI 1093191322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1447084348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 DAVID AVE",
"city": "PARMA",
"state": "OH",
"postal_code": "441346816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3567 RESERVE COMMONS DR STE 100",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565344",
"telephone_number": "330-801-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSKO",
"first_name": "EDUARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.0036941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.