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GAIL BERISWILL CNP
NPI 1851709190
Nurse Practitioner - Adult Health in Cleveland, OH

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
19530 BAGLEY RD, CLEVELAND, OH 44130(440) 816-7500 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gail Beriswill Cnp NPPES

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

GAIL BERISWILL CNP (NPI 1851709190) is an individual adult health provider in Cleveland, Ohio, licensed in Ohio (COA 16326-NP) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851709190
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGAIL BERISWILLCredential: CNP
Location Address19530 BAGLEY RDCleveland, OH 44130-3326
Mailing AddressPo Box 360054Cleveland, OH 44136-0001
Phone(440) 816-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 31, 2014
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1851709190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · COA 16326-NP
19530 BAGLEY RD, Cleveland, OH 44130
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17215 Old Oak Blvd Ste A410Cleveland, OH 44130-3377 · Phone (440) 816-2638
Location 27255 Old Oak Blvd Ste B-311Cleveland, OH 44130-3329 · Phone (440) 816-2638

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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

Gail Beriswill 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 ID8729300645
PECOS Enrollment IDI20141204000735
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
333 services86 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
113 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services39 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
46 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

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.

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.91
Promoting Interoperability100
Improvement Activities40
Cost63.49

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier14 claims25 services$9.32 avg. paid by Medicare
Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$37.51 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier12 claims12 services$10.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier37 claims37 services$62.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier37 claims37 services$28.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

HOPKINS OPCO LLC
Skilled Nursing Facility
19530 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-7500
SOUTHERN HILLS NURSING AND REHABILITATION CENTER, INC.
Skilled Nursing Facility
19530 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-7500
SOUTHERN HILLS HEALTH AND REHABILITATION CENTER LLC
Skilled Nursing Facility
19530 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-7500

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 Gail Beriswill's NPI number?

The NPI number for Gail Beriswill is 1851709190. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Gail Beriswill located?

Gail Beriswill practices at 19530 Bagley Rd, Cleveland, OH 44130. The listed phone number is (440) 816-7500.

What is Gail Beriswill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gail Beriswill enrolled in Medicare?

Yes. Gail Beriswill 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.

What insurance does Gail Beriswill accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Gail Beriswill 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.

Is Gail Beriswill affiliated with any hospitals?

According to CMS data, Gail Beriswill is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Gail Beriswill was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.