JULIANNE GROSSNICKLE (CNP) – Acute Care Nurse Practitioner, NPI 1659796142

JULIANNE GROSSNICKLE (CNP) is a healthcare provider. based in Fairlawn, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA-15658-NP (OH). The NPI Number for JULIANNE GROSSNICKLE (CNP) is 1659796142

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JULIANNE GROSSNICKLE (CNP)
NPI
1659796142
Phone
(330) 576-0500
Address
822 KUMHO DR
Enumeration Date
20 February 2014
Last Update Date
20 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304891000
Graduation Year
2013 (13 years ago)
PAC ID
5597995621
Group Practice PAC ID
4284538430
Professional Enrollment ID
I20140311000570
Address ID
OH447082614CA1320XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JULIANNE GROSSNICKLE (CNP)

  • 822 KUMHO DR

    SUITE 202

    FAIRLAWN, OH 443339297

    Phone: (330) 576-0500

    Fax: (330) 576-0467

    Type: Mailing

  • 1320 MERCY DR NW

    CANTON, OH 447082614

    Phone: (330) 489-1000

    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: 2014-03-11

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
I20140311000570INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11378$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9363$0
99239Hospital discharge day management, more than 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 44333)

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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: 4284538430View full group profile
NameSpecialtyState
Hospitalist, Family PracticeOH
Internal MedicinePA
Family PracticeMI
Nurse PractitionerOH
Nurse PractitionerNY
Internal Medicine, Pediatric MedicineOH
-OH
Internal MedicineOH
Internal MedicineOH
Internal MedicineOH

Reviews

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Frequently asked questions

Is JULIANNE GROSSNICKLE (CNP) listed with a National Provider Identifier?
Yes — JULIANNE GROSSNICKLE (CNP) has NPI 1659796142 on file in the registry.
Is there an active status for JULIANNE GROSSNICKLE (CNP)?
For scheduling context, JULIANNE GROSSNICKLE (CNP) is shown as active in the registry.
What expertise is attributed to JULIANNE GROSSNICKLE (CNP)?
JULIANNE GROSSNICKLE (CNP)'s specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Ohio is JULIANNE GROSSNICKLE (CNP) registered?
Use Fairlawn, Ohio as the headline location for JULIANNE GROSSNICKLE (CNP) here.
When was this NPI issued?
Enumeration for JULIANNE GROSSNICKLE (CNP) is noted as February 20, 2014 where the registry provides it.

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