MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1396111597

MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER) is a healthcare provider. based in Lorain, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. APRN.CNP.021734 (OH). The NPI Number for MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER) is 1396111597

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER)
NPI
1396111597
Phone
(440) 988-3705
Address
5940 Oak Point Rd
Enumeration Date
11 August 2015
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2406862300
Graduation Year
2017 (9 years ago)
PAC ID
8921374604
Group Practice PAC ID
8527969492
Professional Enrollment ID
I20171024003397
Address ID
OH440355902EL630XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER)

  • 5940 Oak Point Rd

    Lorain, OH 440534100

    Phone: (440) 988-3705

    Fax: (440) 988-7433

    Type: Location

  • 5248 Cobblestone Rd

    Sheffield Village, OH 440351488

    Phone: (440) 807-8007

    Type: Location

  • 13611 BAIRD RD

    OBERLIN, OH 440749665

    Phone: (440) 387-1238

    Type: Mailing

  • 3700 KOLBE RD

    LORAIN, OH 440531611

    Phone: (440) 960-3600

    Type: Location

  • 48419 US HIGHWAY 20

    OBERLIN, OH 440749488

    Phone: (440) 387-1238

    Type: Mailing

  • 630 E RIVER ST

    ELYRIA, OH 440355902

    Phone: (440) 329-7500

    Type: Location

  • 5940 OAK POINT RD

    LORAIN, OH 440534100

    Phone: (440) 988-3705

    Fax: (440) 988-7433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-24

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
I20171024003397INurse 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
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 44053)

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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: 8527969492View full group profile
NameSpecialtyState
Nurse PractitionerOH
Emergency MedicineMA
Emergency MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
-OH

Reviews

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Frequently asked questions

What is the registry number for MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER)?
The registry entry for MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER) shows NPI 1396111597.
Is MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER) currently accepting referrals based on NPI status?
Registry metadata lists MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER) as active.
What services align with MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER)'s listing?
MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER)?
MRS. ADJONDI MARIE GOSSEAUX (NURSE PRACTITIONER) is associated with Lorain, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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