Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paul Homitz-Daniels, AGNP-C

Individual provider Registered Nurse · NPI 1679938500

Paul Homitz-Daniels, AGNP-C is a Nurse Practitioner in Mentor, Ohio. Qualified in 2015, 11 years ago. Practices with Premier Behavioral Health Services, LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

8701 Mentor Ave
Mentor, OH 44060-6103
Phone: (440) 266-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AG0116113 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 365924 (OH)

Record details

NPI number1679938500
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedDecember 18, 2015
Last updated in NPPESFebruary 11, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Premier Behavioral Health Services, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mentor