Individual provider Active NPI

Cheri Cutlip, AGPCNP

  • Primary Care Nurse Practitioner
  • Canfield, OH
National Provider Identifier
1669735312
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN.239947 Issued in OH
Practice address
6674 Tippecanoe Rd Ste 1
Canfield, OH 44406-9149
Phone
(330) 533-8490
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN239947 OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.020647 OH
Primary Care Nurse Practitioner 363LP2300X RN.239947 OH Primary

Addresses

Primary practice location

6674 Tippecanoe Rd Ste 1
Canfield, OH 44406-9149

Mailing address

6674 Tippecanoe Rd Ste 1
Canfield, OH 44406-9149
Phone (330) 533-8490

Other practice location 1

15795 Annesley Rd
East Liverpool, OH 43920-9104
Phone (330) 853-5751

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
I20170404000523 OH Practitioner - Nurse Practitioner 8820995061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Providers IncGroup PAC ID 9133101785, 2 clinicians

Practice addresses (Care Compare)

1899 W Garfield Rd
Columbiana, OH 44408-9785
Phone (330) 533-8490

9625 Market St
North Lima, OH 44452-8564
Phone (330) 533-8490

Merit-based Incentive Payment System (MIPS)

Final score
66.58 of 100Reported as group
Quality
85
Improvement activities
0
Cost
75.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN239947OHMDRegistered Nurse
APRN.CNP.020647OHMDGerontology Nurse Practitioner
RN.239947OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Providers Inc CurrentSince Sep 11, 2017 Accepting new patients

Locations

3768 Boardman Canfield Rd
Canfield, OH 44406
Phone (330) 702-1288

6674 Tippecanoe Rd
Ste 1
Canfield, OH 44406
Phone (330) 533-0919

1899 W Garfield Rd
Columbiana, OH 44408
Phone (330) 549-9259

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1669735312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 TIPPECANOE RD STE 1",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069149",
            "telephone_number": "330-533-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6674 TIPPECANOE RD STE 1",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069149",
            "telephone_number": "330-533-8490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15795 Annesley Rd",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209104",
            "country_code": "US",
            "telephone_number": "330-853-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTLIP",
        "first_name": "CHERI",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN239947",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.020647",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "RN.239947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.