Individual provider Active NPI

Erin Welo

  • Gerontology Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1487157806
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP.CNP.022350 Issued in OH
Practice address
17876 Saint Clair Ave
Cleveland, OH 44110-2602
Phone
(216) 383-2222
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP.CNP.022350 OH Primary

Addresses

Primary practice location

17876 Saint Clair Ave
Cleveland, OH 44110-2602

Mailing address

1454 W 75TH St
Cleveland, OH 44102-2902

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
I20180504000849 OH Practitioner - Nurse Practitioner 7618231309 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP.CNP.022350OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Western Reserve at University Hospitals, LLC CurrentSince Apr 2, 2024 Accepting new patients

Locations

17876 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 383-2222

17876 Saint Clair Ave
Ste 102
Cleveland, OH 44110
Phone (216) 701-0736

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1487157806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 W 75TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102602",
            "telephone_number": "216-383-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELO",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "ARNP.CNP.022350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.