EDDAIRIS MARIE VALLEJO APRN-CNP
NPI 1750949780
Nurse Practitioner - Family in Cleveland, OH

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment
5209 DETROIT AVE, CLEVELAND, OH 44102(216) 651-2037(216) 651-4145 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2024, Sep 10, 2023, Dec 27, 2021 and 1 more (4 updates tracked since 2019).

About Eddairis Marie Vallejo Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDAIRIS MARIE VALLEJO APRN-CNP (NPI 1750949780) is an individual family provider in Cleveland, Ohio, licensed in Ohio (024607) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750949780
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDDAIRIS MARIE VALLEJOCredential: APRN-CNP
Location Address5209 DETROIT AVECleveland, OH 44102-2224
Mailing Address5209 Detroit AveCleveland, OH 44102-2224 · (216) 651-2037 · Fax (216) 651-4145
Fax(216) 651-4145
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 4, 2019
Last NPPES UpdateJune 4, 20244 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1750949780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 024607
Also ListedRegistered NurseTaxonomy 163W00000X · License 351707 (OH)
5209 DETROIT AVE, Cleveland, OH 44102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eddairis Marie Vallejo Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456687722
PECOS Enrollment IDI20190724001213
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Eddairis Vallejo reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12201 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 128 clinicians in this Medicare group
General Practice
8055 ADDISON RD
Masury, OH 44438
  • Reassigned Medicare billing, Ohio enrollment
  • 76 clinicians in this Medicare group
Acute Care
433 OBETZ RD
Columbus, OH 43207
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
Nurse Practitioner
144 COLES WAY
Lakewood, NJ 08701
  • Reassigned Medicare billing, Ohio enrollment
  • 20 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Ohio enrollment
  • 271 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 44102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinic/Center (Rehabilitation, Substance Use Disorder)
5209 DETROIT AVE
CLEVELAND, OH 44102
Counselor (Addiction (Substance Use Disorder))
5209 DETROIT AVE
CLEVELAND, OH 44102
Licensed Practical Nurse
5209 DETROIT AVE
CLEVELAND, OH 44102
Case Manager/Care Coordinator
5209 DETROIT AVE
CLEVELAND, OH 44102
Counselor (Mental Health)
5209 DETROIT AVE
CLEVELAND, OH 44102
Social Worker
5209 DETROIT AVE
CLEVELAND, OH 44102
Registered Nurse
5209 DETROIT AVE
CLEVELAND, OH 44102
Counselor (Professional)
5209 DETROIT AVE
CLEVELAND, OH 44102

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 Eddairis Vallejo's NPI number?

The NPI number for Eddairis Vallejo is 1750949780. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Eddairis Vallejo located?

Eddairis Vallejo practices at 5209 Detroit Ave, Cleveland, OH 44102. The listed phone number is (216) 651-2037.

What is Eddairis Vallejo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Eddairis Vallejo enrolled in Medicare?

Yes. Eddairis Vallejo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eddairis Vallejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddairis Vallejo reassigns Medicare benefits to 6 organizations: The Metrohealth System (Cleveland, OH), Circle Health Services (Cleveland, OH), PA Post Acute Services PC (Masury, OH), Intensive Care Experts Health Network LLC (Columbus, OH), Woundworks LLC (Lakewood, NJ) and 1 more organization, listed in the Medicare section above. Each 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 Eddairis Vallejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eddairis Vallejo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Eddairis Vallejo 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 Eddairis Vallejo was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.