Individual provider Active NPI

Erin Leigh Sibben Stewart, NP-C

  • Family Nurse Practitioner
  • Euclid, OH
National Provider Identifier
1871109595
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN0027819 Issued in OH
Practice address
99 Northline Cir Ste 215
Euclid, OH 44119-1481
Phone
(216) 383-2834
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN0027819 OH Primary

Addresses

Primary practice location

99 Northline Cir Ste 215
Euclid, OH 44119-1481

Mailing address

88 Paw Paw Lake Dr
Chagrin Falls, OH 44022-4215
Phone (440) 409-3071

Other names 1

  • Miss Erin Leigh Sibben Former name

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
I20201105002885 OH Practitioner - Nurse Practitioner 4183034978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Miodrag Zivic LLCGroup PAC ID 9739405457, 6 clinicians

Practice addresses (Care Compare)

25200 Chagrin Blvd
Suite 300
Beachwood, OH 44122-5684
Phone (216) 383-2834

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN0027819OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Miodrag Zivic LLC CurrentSince Oct 20, 2020 Accepting new patients

Locations

25200 Chagrin Blvd
Ste 300
Cleveland, OH 44122
Phone (216) 383-2834

99 Northline Cir
Ste 215
Euclid, OH 44119
Phone (216) 383-2834

99 Northline Cir
Ste 200
Euclid, OH 44119
Phone (216) 383-5757

Interoperability endpoints

  • Direct secure messaging: esibbenstewart28299@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1871109595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PAW PAW LAKE DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224215",
            "telephone_number": "440-409-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR STE 215",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191481",
            "telephone_number": "216-383-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBBEN STEWART",
        "first_name": "ERIN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN0027819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SIBBEN",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.