Christopher M Fackelmann, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0027996 Issued in OH

Practice address

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone

(216) 844-3722

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospitals Cleveland Medical CenterGroup PAC ID 3274431879, 123 clinicians

Cleveland Clinic Avon HospitalGroup PAC ID 0547552630, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
• Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfackelmann28134@ehrdirect.uhhospitals.org

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.

• Cleveland Clinic Avon Hospital

  • General Acute Care Hospital
  • Avon, OH
  • NPI 1346607017
  Medicare reassignment Care Compare group NPD
• University Hospitals Cleveland Medical Center

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1043747454
  Medicare reassignment Care Compare group NPD
• University Hospitals Cleveland Medical Center

  dba Bolwell Health Center Pharmacy

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1952488108
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cleveland Clinic Avon Hospital

  • General Acute Care Hospital
  • Avon, OH
  • NPI 1346607017
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba Uhcmc

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Mentor Health Center

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1487770335

  Hospital

  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Westlake Health Center

  • Multi-Specialty Clinic/Center
  • Westlake, OH
  • NPI 1669598082

  Hospital

  Care Compare affiliation
• University Hospitals of Cleveland

  dba UH Case Medical Center

  • Clinic/Center
  • Cleveland, OH
  • NPI 1760673412

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1982340162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38768 COUNTRY CLUB DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440115279",
            "telephone_number": "440-382-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKELMANN",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027996",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.367836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Fabregas, CNP
• Marissa Fabrizi
• Vanessa Facemire, PH.D.
• Maurice Facey, MD
• Tiffney Facey
• Faith Natalie Fagel Factora, M.D.
• Ronan M Factora, MD
• Jean-Pierre Faddoul, DMD
• Mark Allen Fadel, MD, JD
• Saleh Fadel

• Family Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.