SHERLY KODIYAN OUSEPH – Nurse Practitioner, NPI 1780100040

SHERLY KODIYAN OUSEPH is a healthcare provider. based in Parma, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. AG0217016 (OH). The NPI Number for SHERLY KODIYAN OUSEPH is 1780100040

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHERLY KODIYAN OUSEPH
NPI
1780100040
Phone
(216) 741-5200
Address
5592 BROADVIEW RD STE 103
Enumeration Date
18 August 2017
Last Update Date
18 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409976969
Graduation Year
2016 (10 years ago)
PAC ID
1951676253
Group Practice PAC ID
2668465600
Professional Enrollment ID
I20171012003113
Address ID
OH440044954AS2420XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

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Provider Addresses for SHERLY KODIYAN OUSEPH

  • Broadview Road, Parma, Cuyahoga County, Ohio, 44134, United States

    PARMA, OH 441341677

    Phone: (216) 741-5200

    Type: Location

  • Auburn Road, Chardon, Chardon Township, Geauga County, Ohio, 44024, United States

    CHARDON, OH 440249337

    Phone: 1 (440) 279-9357

    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: 2017-10-12

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
I20171012003113INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes749248$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes409162$0
11042Removal of skin and tissue, 20.0 sq cm or less27376$0
99213Established patient office or other outpatient visit, 20-29 minutes6848$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: 2668465600View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineOH
Family PracticeOH
Internal Medicine, Cardiovascular Disease (Cardiology)OH
Family PracticeOH
P O D I A T R YOH
Pain ManagementOH
Family PracticeOH
Nurse PractitionerOH
-PA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

Can I cross-check SHERLY KODIYAN OUSEPH using NPI 1780100040?
NPI 1780100040 belongs to SHERLY KODIYAN OUSEPH; compare other details if you need extra assurance.
Is SHERLY KODIYAN OUSEPH shown as active in public data?
Registry records indicate SHERLY KODIYAN OUSEPH maintains an active NPI.
What area of care is associated with SHERLY KODIYAN OUSEPH?
SHERLY KODIYAN OUSEPH's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHERLY KODIYAN OUSEPH?
Travel planning: use Parma, Ohio as the reference point for SHERLY KODIYAN OUSEPH, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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