Individual provider Active NPI

Linda Marie Debalzo, C.N.S.

  • Clinical Nurse Specialist
  • Beachwood, OH
National Provider Identifier
1639283518
Registry record updated Jul 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
NS-01406 Issued in OH
Practice address
23425 Commerce Park Ste 104
Beachwood, OH 44122-5848
Phone
(216) 831-2900
NPI assigned
Aug 18, 2006
Last updated
Jul 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X NS-01406 OH Primary

Addresses

Primary practice location

23425 Commerce Park Ste 104
Beachwood, OH 44122-5848

Mailing address

23425 Commerce Park Ste 104
Beachwood, OH 44122-5848

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
I20070523000368 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 0840397048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Debalzo, Elgudin. Levine, Risen LLCGroup PAC ID 3072880715, 10 clinicians

Practice addresses (Care Compare)

23425 Commerce Park
Suite 104
Beachwood, OH 44122-5848
Phone (216) 831-2900

23425 Commerce Park Rd
Suite 104
Beachwood, OH 44122-5848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NS-01406OHMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Debalzo Elgudin Levine Risen LLC CurrentSince Jul 1, 2017 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

23425 Commerce Park
Ste 104
Beachwood, OH 44122
Phone (216) 831-2900

Interoperability endpoints

  • Direct secure messaging: ldebalzo113973@direct.metrohealth.org

Organizations & group practices 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499558400000",
    "number": "1639283518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23425 COMMERCE PARK STE 104",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23425 COMMERCE PARK STE 104",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225848",
            "telephone_number": "216-831-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBALZO",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "C.N.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "NS-01406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.