Dezare Joclyn Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0034026 Issued in OH

Practice address

12301 Ridge Rd
North Royalton, OH 44133-3744

Phone

(440) 652-8748

NPI assigned

Jun 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland Surgical Associates, Inc.Group PAC ID 3577566371, 26 clinicians

Ohio Wound Care Associates LLCGroup PAC ID 7719393032, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cleveland Surgical Associates, Inc.

  • Nurse Practitioner
  • North Royalton, OH
  • NPI 1831140003
  Medicare reassignment Care Compare group NPD
• Ohio Wound Care Associates LLC

  • Internal Medicine Physician
  • North Royalton, OH
  • NPI 1659965457
  Medicare reassignment Care Compare group NPD
• Encore Clinical Services LLC

  dba Medarbor Clinical Services

  • Nurse Practitioner
  • North Royalton, OH
  • NPI 1184346140

  Family

  Medicare reassignment NPD
• Lake Effect Health

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1780156984
  NPD

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1659055838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-652-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-652-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEZARE",
        "middle_name": "JOCLYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Shkilevich
• Bonnie Simonelli, LICDC
• Stephany L Simovic
• Steven Paul Skory
• Danielle Smenda, RDN
• Milton Smith
• Megan Marie Snyder, RN
• Cora Sobarnia, PHARMD
• Grace Song, MD
• Kimberly Sopata, P.T.A.

• Family Nurse Practitioner in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.

Verify at the official NPI Registry.