NELLIE K COUGHLIN (PNP-BC) – Pediatric Nurse Practitioner, NPI 1881614758

NELLIE K COUGHLIN (PNP-BC) is a healthcare provider. based in Euclid, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PNP-BC. They hold a License No. 8736-NP (OH). The NPI Number for NELLIE K COUGHLIN (PNP-BC) is 1881614758

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
NELLIE K COUGHLIN (PNP-BC)
NPI
1881614758
Phone
Not provided
Address
24701 EUCLID AVE
Enumeration Date
20 July 2006
Last Update Date
30 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
2005 (21 years ago)
PAC ID
5698775500
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20061227000224
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

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Provider Addresses for NELLIE K COUGHLIN (PNP-BC)

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-7700

    Fax: (440) 449-1555

    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: 2006-12-27

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
I20061227000224INurse 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 44117)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

What is the standard ID for NELLIE K COUGHLIN (PNP-BC) in the U.S.?
In the U.S., NELLIE K COUGHLIN (PNP-BC) is identified by NPI 1881614758.
Does the public listing show NELLIE K COUGHLIN (PNP-BC) as active?
NELLIE K COUGHLIN (PNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does NELLIE K COUGHLIN (PNP-BC) provide?
NELLIE K COUGHLIN (PNP-BC)'s profile centers on Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NELLIE K COUGHLIN (PNP-BC) tied to Euclid, Ohio?
If you are local to Euclid, Ohio, NELLIE K COUGHLIN (PNP-BC) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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