Individual provider Active NPI

Joscelyn L Greaves, CNP

  • Adult Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1578866950
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP11660 Issued in OH
Practice address
2726 Fulton Dr NW
Canton, OH 44718-3506
Phone
(330) 455-5011
Fax
(330) 588-7127
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP11660 OH Primary

Addresses

Primary practice location

2726 Fulton Dr NW
Canton, OH 44718-3506

Mailing address

2726 Fulton Dr NW
Canton, OH 44718-3506
Phone (330) 455-5011

Other identifiers 1

IdentifierTypeStateIssuer
3110458MedicaidOH

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
I20110218000421 OH Practitioner - Nurse Practitioner 6204017668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians
Gastroenterology Specialists IncGroup PAC ID 5991604860, 18 clinicians

Practice addresses (Care Compare)

2600 6TH SWST
Canton, OH 44710-1702
Phone (330) 363-2180

2726 Fulton Dr NW
Canton, OH 44718-3506
Phone (330) 455-5011

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

Merit-based Incentive Payment System (MIPS)

Final score
88.59 of 100Reported as group
Quality
83.4
Promoting interoperability
100
Improvement activities
40
Cost
78.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP11660OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialists Inc CurrentSince Aug 15, 2011 Accepting new patients
Gastroenterology Specialists Inc CurrentSince Aug 15, 2011 Accepting new patients
Ohio Physician Professional Corporation CurrentSince Nov 3, 2023 Accepting new patients
On Demand Immediate Care, LLC Past Accepting new patients

Locations

2726 Fulton Dr NW
Canton, OH 44718
Phone (330) 455-5011

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#6
Canton, OH 44710

Interoperability endpoints

  • FHIR API: https://a8580225-25d6-4812-a463-58e49a80f214.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

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 1

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": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1578866950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183506",
            "telephone_number": "330-455-5011",
            "fax_number": "330-588-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183506",
            "telephone_number": "330-455-5011",
            "fax_number": "330-588-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "JOSCELYN",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP11660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3110458",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.