WILLIAM PHILLIPS – Psychiatric/Mental Health Nurse Practitioner, NPI 1982200515

WILLIAM PHILLIPS is a healthcare provider. based in Cleveland, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. RN.456208 (OH). The NPI Number for WILLIAM PHILLIPS is 1982200515

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM PHILLIPS
NPI
1982200515
Phone
Not provided
Address
3452 TUTTLE AVE
Enumeration Date
9 December 2020
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
2021 (5 years ago)
PAC ID
9032526124
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20210408001193
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for WILLIAM PHILLIPS

  • 3452 TUTTLE AVE

    CLEVELAND, OH 441113027

    Phone:

    Type: Mailing

  • 630 E RIVER ST

    ELYRIA, OH 440355902

    Phone: (440) 329-7596

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-06-03 • Largest payer in this snapshot: Alkermes, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$35
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: 2021-04-08

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
I20210408001193INurse 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 44111)

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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
Certified Registered Nurse Anesthetist (Crna)OH
-MI
Hospitalist, Internal MedicineOH
-TX
Radiation OncologyOH
-OH
Internal MedicineLA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Can I verify WILLIAM PHILLIPS with an NPI only?
You can start verification with NPI 1982200515 for WILLIAM PHILLIPS, then check state licensing separately.
Does the file indicate WILLIAM PHILLIPS is practicing under active NPI?
Directory data currently reports WILLIAM PHILLIPS as active.
What is WILLIAM PHILLIPS's specialty?
The listing groups WILLIAM PHILLIPS with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is WILLIAM PHILLIPS based?
WILLIAM PHILLIPS is tied to Cleveland, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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