Individual provider Active NPI

Pamela Hetrick, C.N.M.

  • Advanced Practice Midwife
  • Cleveland, OH
National Provider Identifier
1477578706
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-3941
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

PO Box 781389 Att: Delia M Bartlett
Detroit, MI 48278-0001

Other identifiers 6

IdentifierTypeStateIssuer
000000509166OtherOHANTHEM
000000221303OtherOHUNISON
363634OtherOHWELLCARE
7173569OtherOHAETNA
2468575MedicaidOH
738062OtherOHBUCKEYE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamela.hetrick@lhpg.eclinicaldirectplus.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001344 OH Practitioner - Certified Nurse Midwife (CNM) 2062408768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2003
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)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

13170 Ravenna Rd
Chardon, OH 44024-7022

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc CurrentSince Oct 31, 2013 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 29, 2025 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jun 1, 2021 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 29, 2025 Accepting new patients
Lake Hospital System, Inc. CurrentSince Oct 31, 2013 Accepting new patients
University Primary Care Practices Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

1000 Auburn Dr
Ste 340
Beachwood, OH 44122
Phone (216) 381-2223

13170 Ravenna Rd
Ste 116
Chardon, OH 44024
Phone (440) 285-0828

11100 Euclid Ave
Ste 1200
Cleveland, OH 44106
Phone (216) 844-3080

11100 Euclid Ave
#1200
Cleveland, OH 44106
Phone (216) 285-5028

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

9485 Mentor Ave
Ste 202
Mentor, OH 44060
Phone (440) 205-5862

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

960 Clague Rd
Ste 2420
Westlake, OH 44145
Phone (216) 941-0333

36001 Euclid Ave
Ste C7
Willoughby, OH 44094
Phone (440) 602-6710

36100 Euclid Ave
Ste 120
Willoughby, OH 44094
Phone (216) 951-8360

5105 Som Center Rd
Ste 201
Willoughby, OH 44094
Phone (440) 602-6710

Interoperability endpoints

  • Direct secure messaging: phetrick36478@ehrdirect.uhhospitals.org

Organizations & group practices 9

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 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1477578706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781389 ATT: DELIA M BARTLETT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "PAMELA",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000509166",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221303",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363634",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7173569",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2468575",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "738062",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.hetrick@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "5105 SOM Center Road",
            "address_2": "Suite 201",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.