Individual provider Active NPI

Dawn Lynn Gore, CNS

  • Clinical Nurse Specialist
  • Beachwood, OH
National Provider Identifier
1497816722
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
COA.09189-NS Issued in OH
Practice address
3619 Park East Dr Ste 211
Beachwood, OH 44122-4312
Phone
(216) 464-6210
Fax
(216) 464-6212
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X COA.09189-NS OH
Clinical Nurse Specialist 364S00000X COA.09189-NS OH Primary

Addresses

Primary practice location

3619 Park East Dr Ste 211
Beachwood, OH 44122-4312

Mailing address

3619 Park East Dr Ste 211
Beachwood, OH 44122-4312
Phone (216) 464-6210

Other identifiers 2

IdentifierTypeStateIssuer
CTP.09189OtherOHPRESCRIPTIVE AUTHORITY (CTP)
2844711MedicaidOH

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
I20071114000091 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 9335237049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1992
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)

3619 Park E Dr
Beachwood, OH 44122
Phone (216) 844-6445

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Elara Caring Home health agency, Mentor, OH, CCN 367173
  • Always Best Care Cleveland South Home health agency, Middleburg Heights, OH, CCN 368392
  • Visiting Nurse Association of Cleveland Home health agency, Brooklyn Heights, OH, CCN 367022
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

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 Specialist

State licenses

LicenseStateTypeSpecialty
COA.09189-NSOHMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince May 10, 2024 Accepting new patients

Locations

3619 Park East Dr
Ste 211
Cleveland, OH 44122
Phone (216) 378-0900

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3619 Park East Dr
Cleveland, OH 44122
Phone (216) 464-6211

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: dgore572856@ehrdirect.uhhospitals.org

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.

Hospital & facility affiliations 8

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1497816722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR STE 211",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224312",
            "telephone_number": "216-464-6210",
            "fax_number": "216-464-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR STE 211",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224312",
            "telephone_number": "216-464-6210",
            "fax_number": "216-464-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "DAWN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "COA.09189-NS",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "COA.09189-NS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE AUTHORITY (CTP)",
            "identifier": "CTP.09189",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2844711",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.