Active NPI
Pamela Hetrick, C.N.M.
- Advanced Practice Midwife
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000509166 | Other | OH | ANTHEM |
| 000000221303 | Other | OH | UNISON |
| 363634 | Other | OH | WELLCARE |
| 7173569 | Other | OH | AETNA |
| 2468575 | Medicaid | OH | |
| 738062 | Other | OH | BUCKEYE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Obstetrics & Gynecology Physician
- Mentor, OH
- NPI 1710207329
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.