NPIMap

Individual provider Active NPI

Nicole Marie Spuhler, PA-C

  • Physician Assistant
  • Cuyahoga Falls, OH
National Provider Identifier
1730755711
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006920 Issued in OH
Practice address
437 Portage TRL
Cuyahoga Falls, OH 44221-3227
Phone
(330) 929-9136
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006920 OH Primary

Addresses

Primary practice location

437 Portage TRL
Cuyahoga Falls, OH 44221-3227

Mailing address

437 Portage TRL
Cuyahoga Falls, OH 44221-3227
Phone (330) 929-9136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614001143 OH Practitioner - Physician Assistant 2365842374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

2007 State Route 59
Kent, OH 44240-7610
Phone (330) 673-6299

3975 Embassy Pkwy
Suite 202
Akron, OH 44333-8395
Phone (330) 668-4085

437 Portage Trail
Cuyahoga Falls, OH 44221-3227
Phone (330) 929-9136

437 Portage TRL
Cuyahoga Falls, OH 44221-3227
Phone (330) 929-9136

4466 Fulton Dr NW
Canton, OH 44718-2864
Phone (833) 334-9007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.006920OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Inc CurrentSince Jul 1, 2021 Accepting new patients
Crystal Clinic Orthopaedic Center LLC CurrentSince Jan 1, 2024 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Past Accepting new patients

Locations

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

4466 Fulton Dr NW
Canton, OH 44718
Phone (330) 489-1386

437 Portage Trl
#1
Cuyahoga Falls, OH 44221

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1730755711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-929-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-929-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPUHLER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.