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

Tina Koval, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1518495316

Tina Koval, NURSEPRACTITIONER is a Nurse Practitioner in Willoughby, Ohio. Qualified in 2016, 10 years ago. Practices with Lake Hospital System, Inc, a 94-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

37418 Euclid Ave Apt 102
Willoughby, OH 44094-5651
Phone: (440) 487-4522
Fax: (440) 487-4522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36100 Euclid Avenue, Willoughby, OH 44094 — (440) 953-6294

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 020807 (OH)

Record details

NPI number1518495316
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 24, 2017
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 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)
Group practice Lake Hospital System, Inc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Willoughby