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

Mrs. Veronica Marie Mediavilla

Individual provider Family Nurse Practitioner · NPI 1003619107

Mrs. Veronica Marie Mediavilla is a Nurse Practitioner in Lorain, Ohio. Qualified in 2024, 2 years ago. Practices with Mercy Health Physicians Lorain Specialty Care LLC, a 136-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025

Practice location Address checks out

3600 Kolbe Rd Ste 11
Lorain, OH 44053-1652
Phone: (440) 222-4003
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0039171 (OH)

Record details

NPI number1003619107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mercy Health Physicians Lorain Specialty Care Llc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lorain