Individual provider Active NPI

Veronika Anatolyevna Pagsanjan, FNP-C

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1942855747
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023961 Issued in OH
Practice address
3700 Park East Dr Ste 100
Beachwood, OH 44122-4339
Phone
(216) 593-7180
Fax
(216) 593-7499
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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.023961 OH Primary

Addresses

Primary practice location

3700 Park East Dr Ste 100
Beachwood, OH 44122-4339

Mailing address

3700 Park East Dr Ste 100
Beachwood, OH 44122-4339
Phone (216) 593-7180

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
I20190905001653 OH Practitioner - Nurse Practitioner 3779812474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023961OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Parma Community General Hospital Association CurrentSince Aug 1, 2020 Accepting new patients
Parma Community General Hospital Association CurrentSince Aug 1, 2020 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 25, 2024 Accepting new patients
Cottle Pathology Services, Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 25, 2024 Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

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

Interoperability endpoints

  • Direct secure messaging: vpagsanjan1369250@direct.ccf.org
  • Direct secure messaging: vpagsanjan28254@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1942855747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224339",
            "telephone_number": "216-593-7180",
            "fax_number": "216-593-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224339",
            "telephone_number": "216-593-7180",
            "fax_number": "216-593-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGSANJAN",
        "first_name": "VERONIKA",
        "middle_name": "ANATOLYEVNA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.