Individual provider Active NPI

Wendy Rowehl Miano, AGPNP-BC

  • Gerontology Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1881336535
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0031053 Issued in OH
Practice address
Hospice of the Western Reserve WRN Program
17876 St. Clair Avenue
Cleveland, OH 44110
Phone
(216) 486-6512
Fax
(216) 298-0310
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0031053 OH Primary

Addresses

Primary practice location

Hospice of the Western Reserve WRN Program
17876 St. Clair Avenue
Cleveland, OH 44110

Mailing address

17876 Saint Clair Ave
Cleveland, OH 44110-2602
Phone (216) 486-6512

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
I20220608001243 OH Practitioner - Nurse Practitioner 6103204854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

9485 Mentor Ave
Suite 210
Mentor, OH 44060-8723
Phone (440) 205-5835

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0031053OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc. CurrentSince Apr 20, 2025 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
Lake Hospital System, Inc CurrentSince Apr 20, 2025 Accepting new patients

Locations

9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 205-5835

Interoperability endpoints

  • Direct secure messaging: wmiano611118@ehrdirect.uhhospitals.org

Organizations & group practices 3

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1881336535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102602",
            "telephone_number": "216-486-6512",
            "fax_number": "216-298-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPICE OF THE WESTERN RESERVE WRN PROGRAM",
            "address_2": "17876 ST. CLAIR AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44110",
            "telephone_number": "216-486-6512",
            "fax_number": "216-298-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIANO",
        "first_name": "WENDY",
        "middle_name": "ROWEHL",
        "name_prefix": "Dr.",
        "credential": "AGPNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "0031053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.