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Export Provider Record NPI 1215454160
Stephanie PesicekRN, APRN, CNP
Active
NPI Number1215454160
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Women's Health
Provider Details
NPI1215454160
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-08-22
Last Updated2021-01-05
Mailing Address456 Fernwood Ct
Painesville, OH 44077-6157
United States
Phone: (330) 646-7701
📍 View Map
Primary Practice Address13221 Ravenna Rd
Chardon, OH 44024-9047
United States
Phone: (440) 286-9238
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LW0102X – Nurse Practitioner, Women's HealthOHAPRN.CNP.021554
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About NPI 1215454160

Stephanie Pesicek RN, APRN, CNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215454160. The primary specialty listed is Nurse Practitioner, Women's Health. The provider is located in Chardon, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-08-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215454160?

NPI 1215454160 belongs to Stephanie Pesicek RN, APRN, CNP, a Nurse Practitioner, Women's Health in Chardon, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215454160 active?

The current status of NPI 1215454160 in the NPPES registry is Active. The record was last updated on 2021-01-05.

What specialty is NPI 1215454160?

NPI 1215454160 is classified under the taxonomy Nurse Practitioner, Women's Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215454160?

You can verify NPI 1215454160 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215454160?

The primary practice address on file for NPI 1215454160 is 13221 Ravenna Rd, Chardon, OH 44024-9047. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215454160 issued?

NPI 1215454160 was first issued (enumerated) on 2017-08-22. The NPPES record was last updated on 2021-01-05.

Practice Location Map

Stephanie Pesicek is located at 13221 Ravenna Rd, Chardon, OH. Use the map below to find directions or verify the practice location.

📍 13221 Ravenna Rd, Chardon, OH 44024-9047  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Stephanie Pesicek. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1215454160. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Women's HealthAPRN.CNP.021554OH
Data Verified from CMS NPPES Last synced: 2026-09-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162