Individual provider Active NPI

Jeremy Lawson, APRN

  • Acute Care Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1801758222
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0040903 Issued in OH
Practice address
3609 Park East Dr Ste 207
Beachwood, OH 44122-4309
Phone
(216) 360-0456
Fax
(216) 360-9449
NPI assigned
Nov 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0040903 OH Primary

Addresses

Primary practice location

3609 Park East Dr Ste 207
Beachwood, OH 44122-4309

Mailing address

3609 Park East Dr Ste 207
Beachwood, OH 44122-4309
Phone (216) 360-0456

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
I20260106002734 OH Practitioner - Nurse Practitioner 9537655832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id Consultants of Northeast Ohio IncGroup PAC ID 1355747882, 17 clinicians

Practice addresses (Care Compare)

3609 Park E Dr
Suite 207
Beachwood, OH 44122-4309
Phone (216) 360-0456

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0040903OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants of Northeast Ohio, Inc CurrentSince Dec 27, 2025 Accepting new patients

Locations

3609 Park East Dr
Ste 207
Cleveland, OH 44122
Phone (216) 360-9480

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1801758222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR STE 207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224309",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR STE 207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224309",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "JEREMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0040903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.