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KELLY R CERVENKA CNP
NPI 1871587808
Nurse Practitioner in Cleveland, OH

Active since September 06, 2005
4229 PEARL RD, CLEVELAND, OH 44109(216) 205-4026(216) 205-4032 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly R Cervenka Cnp NPPES

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

KELLY R CERVENKA CNP (NPI 1871587808) is an individual nurse practitioner in Cleveland, Ohio, licensed in Ohio (COA.04944-NP) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1871587808
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY R CERVENKACredential: CNP
Location Address4229 PEARL RDCleveland, OH 44109-4218
Mailing Address10275 Clipper CvReminderville, OH 44202-9042 · (330) 562-2630
Phone(216) 205-4026
Fax(216) 205-4032
Sole ProprietorYes
Enumeration DateSeptember 6, 2005
Last NPPES UpdateAugust 30, 2013
✔ NPI 1871587808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · COA.04944-NP
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN211663 (OH)
4229 PEARL RD, Cleveland, OH 44109
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Other Identifiers 3

Medicare UPINP66514OH
Medicare ID-Type UnspecifiedCENP11112OH
Medicaid2343655OH

Other Providers at the Same Location NPPES 18

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

MS. CAT R KENNEY
Speech-Language Pathologist
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (216) 957-2000
MR. ERIC S BAUM RN, NP-C
Nurse Practitioner (Gerontology)
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (216) 780-6400
DR. KETRIN LENGU
Clinical Neuropsychologist
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (216) 957-2000
SENIOR & REHAB CARE AT METROHEALTH LLC
Skilled Nursing Facility
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (000) 000-0000
MRS. DARCY KOSMERL P.T.
Physical Therapist
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (216) 957-3103
JENNIFER ANN NAGY P.T.
Home Health Aide
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (216) 957-3904
BENJAMIN KYLE GEBER PETRIE MD
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4414
THE METROHEALTH SYSTEM
Rehabilitation Unit
4229 PEARL RD
CLEVELAND, OH 44109
Cuyahoga County (216) 957-2442

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 Kelly Cervenka's NPI number?

The NPI number for Kelly Cervenka is 1871587808. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Kelly Cervenka located?

Kelly Cervenka practices at 4229 Pearl Rd, Cleveland, OH 44109. The listed phone number is (216) 205-4026.

What is Kelly Cervenka's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Cervenka was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.