Individual provider Active NPI

Dawn Cupach, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1952840217
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020478 Issued in OH
Practice address
18780 Bagley Rd Ste 108
Cleveland, OH 44130-3304
Phone
(440) 816-2330
NPI assigned
Feb 20, 2017
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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.020478 OH Primary

Addresses

Primary practice location

18780 Bagley Rd Ste 108
Cleveland, OH 44130-3304

Mailing address

PO Box 638269
Cincinnati, OH 45263-8269

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcupach@direct.swgeneral.com Southwest General Medical Group, Inc.

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
I20170531000808 OH Practitioner - Nurse Practitioner 2668749342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
73.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020478OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jan 31, 2024 Accepting new patients
Outreach Professional Services, Inc CurrentSince Jan 13, 2018 Accepting new patients
Outreach Professional Services Inc CurrentSince Jan 13, 2018 Accepting new patients
Southwest General Medical Group Inc Current Accepting new patients
Southwest General Medical Group, Inc CurrentSince Nov 16, 2022 Accepting new patients
Incare Health Solutions LLC CurrentSince May 5, 2017 Accepting new patients
Southwest General Medical Group Inc CurrentSince Nov 16, 2022 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince May 5, 2017 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Jan 31, 2024 Accepting new patients

Locations

2322 E 22nd St
Ste 207
Cleveland, OH 44115
Phone (216) 363-2578

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

18780 Bagley Rd
Ste 108
Middleburg Heights, OH 44130
Phone (440) 816-2330

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

Interoperability endpoints

  • Direct secure messaging: dcupach271070@direct.metrohealth.org

Organizations & group practices 10

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 2

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1952840217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638269",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 BAGLEY RD STE 108",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303304",
            "telephone_number": "440-816-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPACH",
        "first_name": "DAWN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcupach@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group, Inc.",
            "address_1": "2322 E 22nd St Ste 207",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.