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

Michele Elizabeth Petruccelli

Individual provider Family Nurse Practitioner · NPI 1538521000

Michele Elizabeth Petruccelli is a Nurse Practitioner in Willoughby, Ohio. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

36100 Euclid Ave Ste 240
Willoughby, OH 44094
Phone: (440) 953-6294
Fax: (440) 918-4687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8316 Yellowbrick Rd, Mentor, OH 44060-4960 — (440) 205-8818

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence COA18962-NP (OH)

Record details

NPI number1538521000
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2016
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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