Individual provider Active NPI

Rebecca Ann Pollack, APRN

  • Family Nurse Practitioner
  • Broadview Heights, OH
National Provider Identifier
1861038077
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025828 Issued in OH
Practice address
5901 E Royalton Rd # 1400B
Broadview Heights, OH 44147-3532
Phone
(440) 499-5900
NPI assigned
Nov 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.025828 OH Primary
Emergency Medicine Physician 207P00000X APRN.CNP.025828 OH

Addresses

Primary practice location

5901 E Royalton Rd # 1400B
Broadview Heights, OH 44147-3532

Mailing address

34970 Detroit Rd Unit 106
Avon, OH 44011-2653
Phone (440) 590-3013

Other practice location 1

26622 Lorain Road
North Olmsted, OH 44070-3204
Phone (440) 991-1212

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
I20200903002023 OH Practitioner - Nurse Practitioner 1052738127 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025828OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince May 3, 2023 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Jul 8, 2020 Accepting new patients
Southwest General Health Center CurrentSince Dec 8, 2020 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince May 3, 2023 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Jul 22, 2020 Accepting new patients

Locations

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

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

30575 Bainbridge Rd
Ste 200
Solon, OH 44139

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: rpollack593763@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 4

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1861038077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34970 DETROIT RD UNIT 106",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112653",
            "telephone_number": "440-590-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E ROYALTON RD # 1400B",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473532",
            "telephone_number": "440-499-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26622 Lorain Road",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440703204",
            "country_code": "US",
            "telephone_number": "440-991-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025828",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "APRN.CNP.025828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.