Individual provider Active NPI

Bernadette Knez, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1689792541
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
09353 Issued in OH
Practice address
1795 W 25TH St
Cleveland, OH 44113-3112
Phone
(216) 619-5571
NPI assigned
Mar 27, 2007
Last updated
Jul 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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 09353 OH Primary

Addresses

Primary practice location

1795 W 25TH St
Cleveland, OH 44113-3112

Mailing address

36687 S Lake Shore Blvd
Eastlake, OH 44095-1345
Phone (440) 346-6004

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
I20070410000140 OH Practitioner - Nurse Practitioner 0143325738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09353OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince Jun 1, 2023 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Jun 1, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Ashtabula County Medical Center CurrentSince Jan 7, 2015 Accepting new patients
Access Medical Group LLC Past Accepting new patients
Meritra Physicians LLC Past Accepting new patients
Prospect Urgent Care LLC Past Accepting new patients
Trusted Health Care, Inc PastSince Apr 1, 2020 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

Interoperability endpoints

  • Direct secure messaging: bknez101091@direct.ccf.org
  • Direct secure messaging: bknez429515@ehrdirect.uhhospitals.org

Organizations & group practices 8

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1689792541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36687 S LAKE SHORE BLVD",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440951345",
            "telephone_number": "440-346-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133112",
            "telephone_number": "216-619-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEZ",
        "first_name": "BERNADETTE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "09353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.