Individual provider Active NPI

Julie O'Connor, CNP

  • Family Nurse Practitioner
  • Parma, OH
National Provider Identifier
1679168066
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028424 Issued in OH
Practice address
6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Phone
(440) 842-8675
Fax
(216) 220-1044
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0028424 OH Primary

Addresses

Primary practice location

6681 Ridge Rd Ste 300
Parma, OH 44129-5705

Mailing address

6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Phone (440) 842-8675

Other identifiers 2

IdentifierTypeStateIssuer
APRN.CNP.0028424OtherOHOHIO BOARD OF NURSING
RN.336583OtherOHOHIO BOARD OF NURSING

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
I20210315002162 OH Practitioner - Nurse Practitioner 0547676686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Practitioner Health Services LLCGroup PAC ID 4880840115, 18 clinicians
Premium Quality NP, LLCGroup PAC ID 9830515626, 2 clinicians

Practice addresses (Care Compare)

15400 Pearl Rd
Suite 238
Strongsville, OH 44136-6000
Phone (440) 879-1258

555 Springbrook Dr
Medina, OH 44256-3651
Phone (330) 461-0914

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner Health Services, LLC CurrentSince Feb 10, 2025 Accepting new patients
Premium Quality NP, LLC CurrentSince May 2, 2021 Accepting new patients

Locations

5155 Buehlers Dr
Ste 108
Medina, OH 44256

555 Springbrook Dr
Medina, OH 44256
Phone (330) 725-3393

19530 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-7500

15400 Pearl Rd
Ste 238
Strongsville, OH 44136
Phone (440) 879-1258

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1679168066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD STE 300",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295705",
            "telephone_number": "440-842-8675",
            "fax_number": "216-220-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD STE 300",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295705",
            "telephone_number": "440-842-8675",
            "fax_number": "216-220-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JULIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRN.CNP.0028424",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "RN.336583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.