ANDREA MARIE VON DER VELLEN (CNP) – Family Nurse Practitioner, NPI 1265737530

ANDREA MARIE VON DER VELLEN (CNP) is a healthcare provider. based in Parma, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.12039-NP (OH). The NPI Number for ANDREA MARIE VON DER VELLEN (CNP) is 1265737530

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA MARIE VON DER VELLEN (CNP)
NPI
1265737530
Phone
(216) 661-3319
Address
1518 GRANTWOOD DR
Enumeration Date
18 January 2011
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4407433000
Graduation Year
2010 (16 years ago)
PAC ID
0345402483
Group Practice PAC ID
8325931470
Professional Enrollment ID
I20120507000292
Address ID
OH441295437PA7007XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for ANDREA MARIE VON DER VELLEN (CNP)

  • 1518 GRANTWOOD DR

    PARMA, OH 441344032

    Phone: (216) 661-3319

    Type: Mailing

  • 1299 INDUSTRIAL PKWY N

    SUITE 110

    BRUNSWICK, OH 442124316

    Phone: (330) 225-6468

    Type: Location

  • 7007 POWERS BLVD

    PARMA, OH 441295437

    Phone: (440) 743-3000

    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: 2012-05-07

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120507000292INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5857$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 44134)

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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: 8325931470View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantOH
-OH
Physician AssistantOH
-OH
Certified Clinical Nurse Specialist (Cns)OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREA MARIE VON DER VELLEN (CNP)?
NPI 1265737530 is assigned to ANDREA MARIE VON DER VELLEN (CNP) under the national enumeration system.
Is ANDREA MARIE VON DER VELLEN (CNP) currently active in the NPI registry?
CMS-published data lists ANDREA MARIE VON DER VELLEN (CNP) as an active registrant.
Can you summarize ANDREA MARIE VON DER VELLEN (CNP)'s specialty in plain language?
Clinically, the directory lists ANDREA MARIE VON DER VELLEN (CNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANDREA MARIE VON DER VELLEN (CNP)'s primary listing?
We display Parma, Ohio because that is what the record indicates for ANDREA MARIE VON DER VELLEN (CNP).
Is ANDREA MARIE VON DER VELLEN (CNP) a real provider?
This page reflects official NPPES data for NPI 1265737530. Always confirm identity and privileges with the practice and licensing boards.

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