Individual provider Active NPI

Jeffrey Stephen McCullar, NP

  • Family Nurse Practitioner
  • Hudson, OH
National Provider Identifier
1528428026
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 18816-NP Issued in OH
Practice address
82 W Streetsboro St
Hudson, OH 44236-2876
Phone
(330) 344-7650
NPI assigned
Feb 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA 18816-NP OH Primary

Addresses

Primary practice location

82 W Streetsboro St
Hudson, OH 44236-2876

Mailing address

82 W Streetsboro St
Hudson, OH 44236-2876

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
I20160519001966 OH Practitioner - Nurse Practitioner 5890084511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-1733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 18816-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Feb 28, 2018 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group PastSince Feb 28, 2018 Accepting new patients

Locations

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

1 Akron General Ave
Ste 301
Akron, OH 44307
Phone (330) 344-1733

9500 Euclid Ave
#3
Cleveland, OH 44195
Phone (216) 445-0873

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

82 W Streetsboro St
Hudson, OH 44236
Phone (330) 344-7650

4494 State Route 43
Kent, OH 44240
Phone (330) 344-1600

33 North Ave
Ste 104
Tallmadge, OH 44278
Phone (330) 344-3990

Interoperability endpoints

  • Direct secure messaging: jmccullar377173@direct.ccf.org

Organizations & group practices 3

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 2

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1528428026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 W STREETSBORO ST",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 W STREETSBORO ST",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362876",
            "telephone_number": "330-344-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLAR",
        "first_name": "JEFFREY",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 18816-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.