NPIMap

Individual provider Active NPI

Anastasiya Pereskokova, AGNP

  • Adult Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1477019941
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.024290 Issued in OH
Practice address
3999 Richmond Rd
Beachwood, OH 44122-6046
Phone
(216) 285-4195
Fax
(216) 201-7110
NPI assigned
Feb 20, 2019
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.024290 OH Primary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.024290 OH

Addresses

Primary practice location

3999 Richmond Rd
Beachwood, OH 44122-6046

Mailing address

1902 Harding Dr
Wickliffe, OH 44092-1053
Phone (440) 283-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000775 OH Practitioner - Nurse Practitioner 1052651015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024290OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uh Regional Hospitals CurrentSince Apr 3, 2021 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Mar 4, 2019 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2025 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Uh Regional Hospitals CurrentSince Apr 3, 2021 Accepting new patients
Uh Regional Hospitals Current Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Mar 4, 2019 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3315 N Ridge Rd E
Ste 700A
Ashtabula, OH 44004
Phone (440) 484-2130

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

Interoperability endpoints

  • Direct secure messaging: apereskokova27723@ehrdirect.uhhospitals.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1477019941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARDING DR",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921053",
            "telephone_number": "440-283-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 RICHMOND RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226046",
            "telephone_number": "216-285-4195",
            "fax_number": "216-201-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERESKOKOVA",
        "first_name": "ANASTASIYA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.024290",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.024290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.