MRS. CLAIRE ELLERBROCK (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669995544
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CLAIRE ELLERBROCK (APRN)
4199 Millpond Dr
Highland Hills, OH 441225731
Phone: (216) 302-3070
Type: Location
217 N Water St Ofc 1
Kent, OH 442402462
Phone: (314) 691-6542
Type: Location
535 Marmion Ave
Youngstown, OH 445022323
Phone: (330) 782-5664
Type: Location
6929 W 130th St Ste 307
Parma Heights, OH 441307822
Phone: (440) 887-1100
Type: Location
West 130th Street, Southland, Parma Heights, Cuyahoga County, Ohio, 44130, United States
PARMA HEIGHTS, OH 441307822
Phone: (440) 887-1100
Type: Mailing
189, Storrs Road, Conantville, Mansfield, Tolland County, Connecticut, 06250, United States
MANSFIELD CENTER, CT 062501683
Phone: (860) 456-1311
Fax: (860) 450-0165
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: 2022-01-31
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 |
|---|---|---|---|---|
| I20220131002000 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 44122)
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