JEANINE R WILLIS (CNP) – Family Nurse Practitioner, NPI 1356776975
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for JEANINE R WILLIS (CNP)
10325 DEWHURST RD
ELYRIA, OH 440358403
Phone: (440) 414-9260
Fax: (216) 201-5581
Type: Mailing
7580 NORTHCLIFF AVE STE 700
BROOKLYN, OH 441443271
Phone: (440) 886-1800
Type: Mailing
18099 LORAIN AVE STE 445
CLEVELAND, OH 441115610
Phone: (440) 886-1800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($105).
Total Amount
$146
General + Research + Ownership
Payments
3
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140206000702 | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 21 | $0 |
Insurance plans in this area (ZIP 44035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Interventional Pain Management, Anesthesiology | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Anesthesiology, Interventional Pain Management, Pain Management | OH | |
| Nurse Practitioner | OH |
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