Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Rae Staff

Individual provider Registered Nurse · NPI 1568113959

Alexis Rae Staff is a Nurse Practitioner in Chardon, Ohio. Qualified in 2022, 4 years ago. Practices with Ravenwood Mental Health Center, a 55-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone: (440) 285-3568
Fax: (440) 285-4552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0031863 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.456353 (OH)

Record details

NPI number1568113959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2022
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ravenwood Mental Health Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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