Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brandon Neidert, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1255855292

Mr. Brandon Neidert, AGACNP-BC is a Nurse Practitioner in Canton, Ohio. Qualified in 2017, 9 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone: (330) 489-1000
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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 021415 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 362722 (OH)

Record details

NPI number1255855292
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESJune 26, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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