Active NPI
Sue A Krieg, FNP-C
- Nurse Practitioner
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003439A
- Practice address
- 4011 Gateway Blvd
Newburgh, IN 47630-8947 - Phone
- (812) 858-2100
- NPI assigned
- Oct 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71003439A | IN | |
| Nurse Practitioner | 363L00000X | 71003439A | IN | Primary |
Addresses
Primary practice location
4011 Gateway Blvd
Newburgh, IN 47630-8947
Mailing address
PO Box 631767
Cincinnati, OH 45263-1767
Phone (812) 450-6815
Other names 1
- Sue A Kelle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570
Hospital & facility affiliations
- Deaconess Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003439A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wabash General Hospital District | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Wabash General Hospital District | Current | Accepting new patients | |
| Wabash General Hospital District | Current | Accepting new patients | |
| Deaconess Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Family Medicine Associates-Southern Indiana , P.C. | Past | Accepting new patients |
Locations
1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Mount Carmel, IL
- NPI 1295834208
-
- Rural Health Clinic/Center
- Albion, IL
- NPI 1689148892
-
- Federally Qualified Health Center (FQHC)
- Mount Carmel, IL
- NPI 1922645910
-
- Family Medicine Physician
- Evansville, IN
- NPI 1932128113
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1104126978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631767",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631767",
"telephone_number": "812-450-6815",
"fax_number": "812-450-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-858-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEG",
"first_name": "SUE",
"middle_name": "A",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003439A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003439A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUE",
"last_name": "KELLE",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.