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

Justin John Kaczmarek

Individual provider Acute Care Nurse Practitioner · NPI 1235816562

Justin John Kaczmarek is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2023, 3 years ago. Practices with Fairview Hospital, a 73-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023

Practice location Address checks out

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (216) 844-3722
Show map & directions

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.0034216 (OH)

Record details

NPI number1235816562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fairview Hospital — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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