Active NPI
Joscelyn L Greaves, CNP
- Adult Health Nurse Practitioner
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP11660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3110458 | Medicaid | OH |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.96 of 100
- Quality
- 77.5
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.58
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| NP11660 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Specialists Inc | Current | Accepting new patients | |
| Gastroenterology Specialists Inc | Current | Accepting new patients | |
| Ohio Physician Professional Corporation | Current | 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
- 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.
-
- Gastroenterology Physician
- Canton, OH
- NPI 1831171974
-
- Hospitalist Physician
- Canton, OH
- NPI 1417016973
-
- Ambulatory Surgical Clinic/Center
- Canton, OH
- NPI 1447231287
-
- Internal Medicine Physician
- Austintown, OH
- NPI 1629468061
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.