JACQUELINE GROTH APRN FNP-C
NPI 1689043408
Nurse Practitioner - Family in Middleburg Heights, OH
About Jacqueline Groth Aprn Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE GROTH APRN FNP-C (NPI 1689043408) is an individual family provider in Middleburg Heights, Ohio, licensed in Ohio (APRN.CNP.0029732) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Groth Aprn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Groth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLEBURG HEIGHTS, OH 44130
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Groth's NPI number?
The NPI number for Jacqueline Groth is 1689043408. It was assigned to this individual provider in the NPPES registry on September 22, 2015.
Where is Jacqueline Groth located?
Jacqueline Groth practices at 18697 Bagley Rd, Middleburg Heights, OH 44130. The listed phone number is (440) 816-5600.
What is Jacqueline Groth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Groth enrolled in Medicare?
Yes. Jacqueline Groth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Groth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Groth reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Groth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Groth accept?
Health plans from CareSource and MedMutual list Jacqueline Groth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacqueline Groth was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Groth, APRN FNP-C · NPI 1689043408
Family physician in Middleburg Heights, Ohio. Individual provider, active in the CMS NPPES registry since September 22, 2015.
## Identity
- **NPI:** 1689043408 (Entity type: Individual)
- **Enumerated:** September 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0029732 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 18697 BAGLEY RD, Middleburg Heights, OH 44130-3497
- **Phone:** (440) 816-5600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1689043408) · Data from the CMS NPPES public registry.