Individual provider Active NPI

Amber Brooke Hyland, AGNP-C

  • Adult Health Nurse Practitioner
  • Lakewood, OH
National Provider Identifier
1679096630
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
021277 Issued in OH
Practice address
13900 Detroit Ave
Lakewood, OH 44107-4624
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 021277 OH Primary

Addresses

Primary practice location

13900 Detroit Ave
Lakewood, OH 44107-4624

Mailing address

19205 Pearl Rd Apt 119
Strongsville, OH 44136-6902
Phone (440) 552-8483

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
I20170906001457 OH Practitioner - Nurse Practitioner 7618240052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santibanez Pac Ohio IncGroup PAC ID 7416391545, 36 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

275 E Sunset Dr
Rittman, OH 44270-1165
Phone (330) 927-2060

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021277OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Midwest Inc CurrentSince Dec 1, 2025 Accepting new patients
Extended Care Specialists, Inc Adult Health CurrentSince Dec 1, 2025 Accepting new patients
Eventus Ecs, Inc CurrentSince Dec 1, 2025 Accepting new patients
Mycare Clinic LLC PastSince Aug 22, 2017 Accepting new patients

Locations

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (855) 679-2366

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1679096630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19205 PEARL RD APT 119",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366902",
            "telephone_number": "440-552-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLAND",
        "first_name": "AMBER",
        "middle_name": "BROOKE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "021277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.