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

Cheryl Ann Green

Individual provider Nurse Practitioner · NPI 1063991438

Cheryl Ann Green is a Nurse Practitioner in Medina, Ohio. Qualified in 2018, 8 years ago. Practices with A and S Khandelwal MD Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018

Practice location Address checks out

970 E Washington St Ste 2F
Medina, OH 44256-2181
Phone: (330) 723-7999
Fax: (330) 764-9907
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 023179 (OH)

Record details

NPI number1063991438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018
Mailing address970 E Washington St Ste 2f, Medina, OH 44256-2181

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice A And S Khandelwal Md Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medina