MRS. IVETA FITZWATER (APRN CNP) – Adult Health Nurse Practitioner, NPI 1316744352

MRS. IVETA FITZWATER (APRN CNP) is a healthcare provider. based in Mayfield village, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN CNP. They hold a License No. APRN.CNP.0038786 (OH). The NPI Number for MRS. IVETA FITZWATER (APRN CNP) is 1316744352

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. IVETA FITZWATER (APRN CNP)
NPI
1316744352
Phone
(440) 342-4579
Address
879 LANDER RD
Enumeration Date
27 February 2025
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164906000
Graduation Year
2024 (2 years ago)
PAC ID
5991223281
Group Practice PAC ID
2264337955
Professional Enrollment ID
I20250520002400
Address ID
OH441226805WA20000AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. IVETA FITZWATER (APRN CNP)

  • 879 LANDER RD

    MAYFIELD VILLAGE, OH 441433245

    Phone: (440) 342-4579

    Fax: (440) 459-1465

    Type: Mailing

  • 20000 HARVARD AVE

    WARRENSVILLE HEIGHTS, OH 441226805

    Phone: (216) 491-6000

    Type: Location

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: 2025-05-20

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
I20250520002400INurse 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.

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

Insurance plans in this area (ZIP 44143)

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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: 2264337955View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH
-OH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does MRS. IVETA FITZWATER (APRN CNP) have a public NPI I can cite?
Public records show MRS. IVETA FITZWATER (APRN CNP) under NPI 1316744352.
Quick check: is MRS. IVETA FITZWATER (APRN CNP) active?
Public NPPES data shows MRS. IVETA FITZWATER (APRN CNP) with an active NPI status right now.
Which specialty label fits MRS. IVETA FITZWATER (APRN CNP)?
NPPES ties MRS. IVETA FITZWATER (APRN CNP) to Adult Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. IVETA FITZWATER (APRN CNP)?
MRS. IVETA FITZWATER (APRN CNP) is associated with Mayfield Village, Ohio in the same public data insurers reference.
Why is information missing for MRS. IVETA FITZWATER (APRN CNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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