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

Caitlyn Marie Pankuch

Individual provider Acute Care Nurse Practitioner · NPI 1619538121

Caitlyn Marie Pankuch is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2019, 7 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
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Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (216) 379-8362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.024967 (OH)

Record details

NPI number1619538121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESMay 4, 2024
Certification dateMay 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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