Alexandrea K. Fistek

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0031977 Issued in OH

Practice address

36100 Euclid Ave Ste 170
Willoughby, OH 44094-4475

Phone

(440) 602-6737

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afistek218749@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment Care Compare group NPD
• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996

  Nurse Practitioner

  Medicare reassignment NPD
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD
• University Primary Care Practices Inc

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098
  NPD
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)

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

• Lake Hospital System Inc

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1760116206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE #170",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-602-6737",
            "fax_number": "440-942-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE STE 170",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944475",
            "telephone_number": "440-602-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISTEK",
        "first_name": "ALEXANDREA",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031977",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.399650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan A Ferra, CAA
• Marisa Catherine Finazzo
• Jasmine Finch, QMHS
• First Choice Transport Service LLC
• Theresa Fisher
• Ernest Fomuteh
• For Your Eyes Only, Inc
• For Your Eyes Only, Inc.
• Christina Ford
• Marvin Foster, QMHS

• Nurse Practitioner in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.