Individual provider Active NPI

Tetyana Shevchuk

  • Family Nurse Practitioner
  • North Royalton, OH
National Provider Identifier
1922862218
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035808 Issued in OH
Practice address
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone
(440) 652-8748
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 APRN.CNP.0035808 OH Primary

Addresses

Primary practice location

12301 Ridge Rd
North Royalton, OH 44133-3744

Mailing address

12781 W Sprague Rd
North Royalton, OH 44133-1052
Phone (440) 533-5383

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
I20240410001502 OH Practitioner - Nurse Practitioner 1153769153 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Wound Care Associates LLC CurrentSince Feb 1, 2025 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Mar 19, 2024 Accepting new patients
Lake Effect Health Current Accepting new patients
Cleveland Surgical Associates, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Encore Clinical Services LLC Family CurrentSince Dec 1, 2024 Accepting new patients

Locations

1320 Mercy Dr NW
Spc Ser
Canton, OH 44708
Phone (330) 492-8720

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

2935 Lincoln Way NW
Massillon, OH 44647
Phone (330) 236-2285

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1922862218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 W SPRAGUE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331052",
            "telephone_number": "440-533-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-652-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVCHUK",
        "first_name": "TETYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.