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

William Phillips

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1982200515

William Phillips is a Nurse Practitioner in Elyria, Ohio. Qualified in 2021, 5 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2020
Specialties on file
2

Practice location Address checks out

630 E River St
Elyria, OH 44035-5902
Phone: (440) 329-7596
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0028421 (OH)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN.456208 (OH)

Record details

NPI number1982200515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2020
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address3452 Tuttle Ave, Cleveland, OH 44111-3027

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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