NPIMap

Individual provider Active NPI

Patricia Rudler, CNP

  • Acute Care Nurse Practitioner
  • Geneva, OH
National Provider Identifier
1619347168
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN290626-1 Issued in OH
Practice address
890 W Main St
Geneva, OH 44041-1236
Phone
(440) 466-1141
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN290626-1 OH Primary

Addresses

Primary practice location

890 W Main St
Geneva, OH 44041-1236

Mailing address

685 Buffalo St
Conneaut, OH 44030-1765
Phone (440) 228-8784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103002980 OH Practitioner - Nurse Practitioner 1254641277 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
University Hospitals Conneaut Medical CenterGroup PAC ID 0547429656, 8 clinicians
University Hospitals Geneva Medical CenterGroup PAC ID 1658568803, 17 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

158 W Main Rd
Conneaut, OH 44030-2039
Phone (440) 593-0122

870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141

Hospital & facility affiliations

  • University Hospitals Conneaut Medical Center Hospital, Conneaut, OH, CCN 361308
  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN290626-1OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Oct 28, 2017 Accepting new patients
University Hospitals Geneva Medical Center CurrentSince Sep 1, 2015 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Oct 28, 2017 Accepting new patients
Ashtabula County Medical Center CurrentSince May 1, 2017 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince May 13, 2017 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince May 13, 2017 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

11100 Euclid Ave
Cleveland Heights, OH 44106

354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

Interoperability endpoints

  • Direct secure messaging: prudler28132@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 6

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1619347168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 BUFFALO ST",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440301765",
            "telephone_number": "440-228-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W MAIN ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411236",
            "telephone_number": "440-466-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDLER",
        "first_name": "PATRICIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "RN290626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.