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Active NPI 1205633260 Individual Practitioner Female Practitioner

Maelyn Bianca Bacchus

Licensed Practical Nurse • Euclid, OH

Professional Overview & Biography Verified Profile Summary

Maelyn Bacchus is a registered healthcare professional specializing in Licensed Practical Nurse in Euclid, OH. Practice services are available at 20611 EUCLID AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20611 Euclid Ave

Euclid, OH 441171521

Telephone 2168592727
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Euclid, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
169 Specialists

Practicing in Euclid, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN.517631

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tracey Saunders

Substance Abuse Rehabilitation Facility

NPI 1003559352
Aisha Chandler

Registered Nurse

NPI 1073473690
Parrish Glover

Counselor - Addiction (Substance Use Disorder)

NPI 1083372379
Nicole Dismukes

Behavior Technician

NPI 1114609609
NPI 1114639663
Angela Bonner-Mcintyre

Registered Nurse

NPI 1114780103

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 27, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2025

Registered at 20611 EUCLID AVE, EUCLID, OH 441171521 (Tel: 2168592727)

📍
Updated Business Mailing Address February 27, 2025

Registered at 26241 LAKE SHORE BLVD APT 1264, EUCLID, OH 441321145

👤
Provider Name / Credentials Updated February 27, 2025

Recorded as MAELYN BACCHUS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Licensed Practical Nurse (License #PN.517631 in OH)

🟢
Initial NPI Registration & Enumeration February 27, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205633260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2025
Last Update: February 27, 2025
Sole Proprietor: Yes

Mailing Address

26241 Lake Shore Blvd Apt 1264

Euclid, OH 441321145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.