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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JENNIFER LYNN BASALLA MSN, APRN, AGNP-C
NPI 1780417352
Nurse Practitioner in Cleveland, OH

Active since August 20, 2024PECOS Enrolled
1950 EAST 89TH, CLEVELAND, OH 44106(216) 636-1158(216) 445-7013 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Jan 9, 2025, Aug 20, 2024 (3 updates tracked since 2024).

About Jennifer Lynn Basalla Msn, Aprn, Agnp-c NPPES

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

JENNIFER LYNN BASALLA MSN, APRN, AGNP-C (NPI 1780417352) is an individual nurse practitioner in Cleveland, Ohio, licensed in Ohio (APRN.CNP.0035303) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Medina Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780417352
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER LYNN BASALLACredential: MSN, APRN, AGNP-C
Location Address1950 EAST 89THCleveland, OH 44106
Mailing Address9500 Euclid Ave U10Cleveland, OH 44195 · (216) 636-1158 · Fax (216) 445-7013
Phone(216) 636-1158
Fax(216) 445-7013
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 20, 2024
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1780417352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0035303
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1950 EAST 89TH, Cleveland, OH 44106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lynn Basalla Msn, Aprn, Agnp-c 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 ID2264954692
PECOS Enrollment IDI20250314002246
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY KUNCHOK
Psychiatry & Neurology (Neurology)
1950 EAST 89TH
CLEVELAND, OH 44106
Cuyahoga County (216) 636-1158
RACHEL ANNE BUTLER CNP
Nurse Practitioner (Adult Health)
1950 EAST 89TH
CLEVELAND, OH 44106
Cuyahoga County (216) 636-1158

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 Jennifer Basalla's NPI number?

The NPI number for Jennifer Basalla is 1780417352. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Jennifer Basalla located?

Jennifer Basalla practices at 1950 East 89th, Cleveland, OH 44106. The listed phone number is (216) 636-1158.

What is Jennifer Basalla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Basalla enrolled in Medicare?

Yes. Jennifer Basalla 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.

Is Jennifer Basalla affiliated with any hospitals?

According to CMS data, Jennifer Basalla is affiliated with Medina Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Jennifer Basalla was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.