KATHLEEN T MAXWELL (CNP) – Nurse Practitioner, NPI 1972520781

KATHLEEN T MAXWELL (CNP) is a healthcare provider. based in Euclid, Ohio. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials CNP. They hold a License No. CNP-019941 (OH). The NPI Number for KATHLEEN T MAXWELL (CNP) is 1972520781

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN T MAXWELL (CNP)
NPI
1972520781
Phone
Not provided
Address
24701 EUCLID AVE
Enumeration Date
16 July 2006
Last Update Date
7 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
1990 (36 years ago)
PAC ID
9436183175
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20050922000514
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH

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Provider Addresses for KATHLEEN T MAXWELL (CNP)

  • 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: (216) 286-6341

    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: 2005-09-22

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
I20050922000514ICertified Clinical Nurse Specialist (Cns)OHTBD

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 unique ID ties claims to KATHLEEN T MAXWELL (CNP)?
NPI 1972520781 is assigned to KATHLEEN T MAXWELL (CNP) under the national enumeration system.
Is KATHLEEN T MAXWELL (CNP) active in the national directory?
KATHLEEN T MAXWELL (CNP)'s public NPI profile is in an active state.
Does KATHLEEN T MAXWELL (CNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KATHLEEN T MAXWELL (CNP). Clinical services aligned with this taxonomy classification.
Does KATHLEEN T MAXWELL (CNP) practice in Ohio?
You will see Euclid, Ohio on file for KATHLEEN T MAXWELL (CNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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