Kristy Nicole Perusko, MSN/FAMILY NURSE PRA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2009002660 Issued in OH

Practice address

6559 Wilson Mills Road
106A
Mayfield Village, OH 44143-3433

Phone

(440) 449-1540

NPI assigned

Jun 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kperusko179180@direct.ccf.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.

• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1851527022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 KAISER CT",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943382",
            "telephone_number": "440-269-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS ROAD",
            "address_2": "106A",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433433",
            "telephone_number": "440-449-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUSKO",
        "first_name": "KRISTY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSN/FAMILY NURSE PRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2009002660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Papirova, MD
• Parker Orthodontics, LTD. (Parker Orthodontics)
• Stephan H. Parker, D.D.S., M.S.D.
• Maria Christina Patti
• Shannon Perkins
• Alyson Pescho, CT
• Shelly Debbie Pesick-Caine, M.D.
• Scott G Peters, DPM
• Roman Petroff, MD
• Dana Michelle Pierce

• Family Nurse Practitioner in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.