Individual provider Active NPI

Lynnette Enterline

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1679086227
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024980 Issued in OH
Practice address
1 Perkins SQ
Akron, OH 44308-1063
Phone
(330) 921-9042
NPI assigned
Nov 6, 2017
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024980 OH Primary

Addresses

Primary practice location

1 Perkins SQ
Akron, OH 44308-1063

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-5015

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
I20210805003144 OH Practitioner - Nurse Practitioner 6204230741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Behavioral Health Services, LLCGroup PAC ID 6507921046, 7 clinicians

Practice addresses (Care Compare)

4199 Millpond Dr
Highland Hills, OH 44122-5731
Phone (216) 304-3287

8701 Mentor Ave
Mentor, OH 44060-6103
Phone (440) 266-0770

Merit-based Incentive Payment System (MIPS)

Final score
75.18 of 100Reported as group
Quality
55.64
Improvement activities
40
Cost
76.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024980OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Behavioral Health Services, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Highland Springs Physician Group, LLC CurrentSince May 28, 2023 Accepting new patients
Highland Springs Physician Group, LLC CurrentSince May 28, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Aug 30, 2021 Accepting new patients
B. Sharif MD, Inc PastSince Jan 1, 2024 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

4199 Millpond Dr
Highland Hills, OH 44122
Phone (216) 206-8853

8701 Mentor Ave
Mentor, OH 44060
Phone (440) 226-0770

34125 Solon Rd
Solon, OH 44139
Phone (412) 588-3546

Interoperability endpoints

  • Direct secure messaging: lenterline27704@ehrdirect.uhhospitals.org

Organizations & group practices 5

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1679086227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-921-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTERLINE",
        "first_name": "LYNNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.