JULIA RAE PENBERTHY (APRN) – Women's Health Nurse Practitioner, NPI 1568119790
Women's Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JULIA RAE PENBERTHY (APRN)
25350 Rockside Rd Ste 100
Bedford Heights, OH 441467111
Phone: (216) 961-8804
Fax: (440) 374-4965
Type: Location
25350 ROCKSIDE RD
BEDFORD HEIGHTS, OH 441467110
Phone: (216) 961-8804
Fax: (440) 374-4965
Type: Mailing
25350 ROCKSIDE RD STE 100
BEDFORD HEIGHTS, OH 441467111
Phone: (216) 961-8804
Fax: (440) 374-4965
Type: Location
9500 EUCLID AVE
CLEVELAND, OH 441950001
Phone: (800) 223-2273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($85).
Total Amount
$173
General + Research + Ownership
Payments
8
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $85 |
| Organon LLC | $50 |
| Merck Sharp & Dohme LLC | $23 |
| CooperSurgical, Inc. | $14 |
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: 2022-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220405002326 | I | Nurse Practitioner | OH | TBD |
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.
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 44146)
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