JOANNA OVERHOLT (CNP) – Family Nurse Practitioner, NPI 1194161687

Family Nurse Practitioner

JOANNA OVERHOLT (CNP) is a healthcare provider. based in Berea, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. RN.369919 (OH). The NPI Number for JOANNA OVERHOLT (CNP) is 1194161687

Main info

Female

5 Years Of Experience

Accepts Medicare Assignment

Name

JOANNA OVERHOLT (CNP)

NPI

1194161687

Phone

(440) 623-7111

Address

393 SAVAGE ST

Enumeration Date

11 May 2013

Last Update Date

26 February 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8004236078

Graduation Year

2021 (5 years ago)

PAC ID

9537689724

Group Practice PAC ID

1052843927

Professional Enrollment ID

I20250218002462

Address ID

OH450053305FR730XXAVEX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience59

Completeness75

Years active:13State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JOANNA OVERHOLT (CNP)

393 SAVAGE ST
BEREA, OH 440171341
Phone: (440) 623-7111
Type: Mailing
730 HILLCREST AVE
FRANKLIN, OH 450053305
Phone: (800) 423-6078
Type: Location
16537 N WHITE OAKS DR
STRONGSVILLE, OH 441367438
Phone: (440) 263-8588
Type: Mailing
PO BOX 286
TRENTON, OH 450670286
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20250218002462	I	Nurse Practitioner	OH	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1052843927View full group profile