Individual provider Active NPI

Cheryl Lynn Belopotosky, CNP

  • Nurse Practitioner
  • Canton, OH
National Provider Identifier
1992030712
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10861 Issued in OH
Practice address
733 Market Ave. SW
Canton, OH 44702-1018
Phone
(330) 489-4684
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10861 OH Primary

Addresses

Primary practice location

733 Market Ave. SW
Canton, OH 44702-1018

Mailing address

733 Market Ave SW.
Canton, OH 44702-1018
Phone (330) 489-4684

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
I20100730000946 OH Practitioner - Nurse Practitioner 0042343899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

4135 Tuscarawas St W
Canton, OH 44708-5463
Phone (330) 546-0913

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10861OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Incare Health Solutions, LLC CurrentSince Mar 10, 2024 Accepting new patients
Incare Health Solutions LLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

3439 Center Rd
Brunswick, OH 44212
Phone (330) 741-4029

4135 Tuscarawas St W
Canton, OH 44708
Phone (330) 546-0913

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

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

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Interoperability endpoints

  • Direct secure messaging: cbelopotosky392633@direct.ccf.org

Organizations & group practices 4

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1992030712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 MARKET AVE SW.",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021018",
            "telephone_number": "330-489-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 MARKET AVE. SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021018",
            "telephone_number": "330-489-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOPOTOSKY",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "10861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.