Individual provider Active NPI

Colleen M Brezine, CNM

  • Advanced Practice Midwife
  • Westlake, OH
National Provider Identifier
1578512463
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
03844-NM Issued in OH
Practice address
29160 Center Ridge Rd
Westlake, OH 44145-5225
Phone
(440) 835-6996
Fax
(440) 808-9387
NPI assigned
May 8, 2006
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 03844-NM OH Primary

Addresses

Primary practice location

29160 Center Ridge Rd
Westlake, OH 44145-5225

Mailing address

29160 Center Ridge Rd
Westlake, OH 44145-5225
Phone (440) 835-6996

Other identifiers 1

IdentifierTypeStateIssuer
2116561MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address colleenbrezine@uhps.allscriptsdirect.net

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
I20040810001544 OH Practitioner - Certified Nurse Midwife (CNM) 5294707576 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03844-NMOHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 13, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2017 Accepting new patients
Clinic Regional Physicians LLC Advanced Practice Midwife Past Accepting new patients
Lakewood Hospital Association Advanced Practice Midwife Past Accepting new patients
Lakewood Hospital Association Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

2535 Hale St
Ste B
Avon, OH 44011
Phone (440) 934-8858

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

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

29101 Health Campus Dr
Ste 250
Westlake, OH 44145
Phone (440) 827-5483

Interoperability endpoints

  • Direct secure messaging: cbrezine37624@ehrdirect.uhhospitals.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1578512463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-6996",
            "fax_number": "440-808-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-6996",
            "fax_number": "440-808-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZINE",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "03844-NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116561",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colleenbrezine@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "29160 Center Ridge Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441455225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.