Individual provider Active NPI

Nita Marie Lejeune, PA-C

  • Medical Physician Assistant
  • Westlake, OH
National Provider Identifier
1669893160
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.004398 Issued in OH
Practice address
29099 Health Campus Dr Ste 130
Westlake, OH 44145
Phone
(440) 835-6163
NPI assigned
Dec 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2446 TN
Medical Physician Assistant 363AM0700X 50.004398 OH Primary

Addresses

Primary practice location

29099 Health Campus Dr Ste 130
Westlake, OH 44145

Mailing address

29099 Health Campus Dr Ste 130
Westlake, OH 44145-5255

Other practice location 1

29099 Health Campus Dr Ste 130
Westlake, OH 44145
Phone (440) 835-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715000181 OH Practitioner - Physician Assistant 6002047982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2446TNMDChiropractor
50.004398OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince May 9, 2016 Accepting new patients
Ohio Chest Physicians LTD CurrentSince Dec 29, 2018 Accepting new patients

Locations

15805 Puritas Ave
Cleveland, OH 44135
Phone (216) 267-5139

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

4269 Pearl Rd
Ste 311
Cleveland, OH 44109
Phone (216) 398-7373

6707 Powers Blvd
Ste 106
Parma, OH 44129
Phone (440) 826-2509

29099 Health Campus Dr
Ste 130
Westlake, OH 44145
Phone (440) 243-6556

Interoperability endpoints

  • Direct secure messaging: nlejeune28413@ehrdirect.uhhospitals.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1669893160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR STE 130",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR STE 130",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-835-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29099 Health Campus Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "44145",
            "country_code": "US",
            "telephone_number": "440-835-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEJEUNE",
        "first_name": "NITA MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2446",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.